La Direct Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LA DIRECT HOME HEALTH CARE INC

Practice address

6308 Woodman Ave # 213
Van Nuys, CA 91401-2347

Phone

(747) 264-1699

Fax

(747) 264-1521

NPI assigned

Sep 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ani Adzhyan

Title

Ceo

Phone

(818) 915-1085

Specialties & licenses 1

Addresses

Other names 1

• LA Direct Home Health Care INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757503

Legal name

LA DIRECT HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 27, 2023

Last certification

Oct 27, 2023

Organization structure

CorporationProprietary

Incorporated

Mar 11, 2019 in CA

Enrollment address

3959 Foothill Blvd
Ste 301
Glendale, CA 91214-1664
HHA Branch

Listed as

La Direct Home Health Care, IncCCN 757503 · All quality measures

Overall star rating

3.5 of 5

Ownership

-

Certified

Nov 27, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Fawaz Faisal, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Burbank, CA
  • NPI 1487679361

  Home health agency

  Care Compare affiliation
• Darrin Duc Luu, M.D.

  • Family Medicine Physician
  • Murrieta, CA
  • NPI 1407970684

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1255980843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 WOODMAN AVE # 213",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012347",
            "telephone_number": "747-264-1699",
            "fax_number": "747-264-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 WOODMAN AVE # 213",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012347",
            "telephone_number": "747-264-1699",
            "fax_number": "747-264-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA DIRECT HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "ADZHYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-915-1085"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA Direct Home Health Care INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• La Hospice Center, Inc.

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.