Organization Active NPI

Loyal Hands Home Health Care Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1265017172
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOYAL HANDS HOME HEALTH CARE INC
Practice address
825 Colorado Blvd Ste 112
Los Angeles, CA 90041-1741
Phone
(626) 800-0117
NPI assigned
Mar 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Mariam Tadevosyan
Title
Ceo
Phone
(626) 800-0117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

825 Colorado Blvd Ste 112
Los Angeles, CA 90041-1741

Mailing address

825 Colorado Blvd Ste 112
Los Angeles, CA 90041-1741
Phone (626) 800-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220517001623 CA Part A Provider - Home Health Agency 1052798840 Practice locations: Los Angeles, CA

Home health agency certification: CCN 757224

Legal name
LOYAL HANDS HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 28, 2023
Last certification
Feb 28, 2023
Organization structure
CorporationProprietary
Incorporated
Jan 23, 2021 in CA
Enrollment address
825 Colorado Blvd
Ste 112
Los Angeles, CA 90041-1741

Care Compare: Home health agency

Medicare Care Compare
Listed as
Loyal Hands Home Health Care, Inc.CCN 757224
Overall star rating
2 of 5
Ownership
-
Certified
Feb 28, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2297628Loyal Hands Home Health Care, Inc825 Colorado Blvd Suite 112, Los Angeles, CA 90041Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

825 Colorado Blvd
Ste 112
Los Angeles, CA 90041
Phone (626) 800-0117

Ownership & related parties

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.

NameRoleSinceShare
Mariam Tadevosyan Individual 5% Or Greater Direct Ownership Interest Jan 23, 2022 100%
Corporate Officer Jan 23, 2022
Corporate Director Jan 23, 2022
W-2 Managing Employee Jan 23, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1265017172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 COLORADO BLVD STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411741",
            "telephone_number": "626-800-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 COLORADO BLVD STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411741",
            "telephone_number": "626-800-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYAL HANDS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "TADEVOSYAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-800-0117"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.