Organization Active NPI

RTH Medcare

  • Home Health Agency
  • Arleta, CA
National Provider Identifier
1265151260
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RTH MEDCARE
Practice address
8953 Woodman Ave Ste 203
Arleta, CA 91331-6481
Phone
(818) 808-7103
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Liana Simonyan
Title
Ceo
Phone
(818) 808-7103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8953 Woodman Ave Ste 203
Arleta, CA 91331-6481

Mailing address

8953 Woodman Ave Ste 203
Arleta, CA 91331-6481
Phone (818) 808-7103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822003241 CA Part A Provider - Home Health Agency 0749628659 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265151260. Details of each certification follow.

Home health agency certification: CCN 757818

Legal name
RTH MEDCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 23, 2024
Last certification
Dec 10, 2024
Organization structure
CorporationProprietary
Enrollment address
3171 Los Feliz Blvd
Ste 216
Los Angeles, CA 90039-1536

Care Compare: Home health agency

Medicare Care Compare
Listed as
RTH MedcareCCN 757818 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Dec 23, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8953 Woodman Ave
Ste 203
Arleta, CA 91331
Phone (213) 760-4037

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
Liana Simonyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Sec/BM/100Owner Aug 22, 2022 100%
Corporate OfficerCeo/Cfo/Sec/BM/100Owner Aug 22, 2022 100%
Corporate DirectorCeo/Cfo/Sec/BM/100Owner Aug 22, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Sec/BM/100Owner Aug 22, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1265151260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8953 WOODMAN AVE STE 203",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316481",
            "telephone_number": "818-808-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8953 WOODMAN AVE STE 203",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316481",
            "telephone_number": "818-808-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTH MEDCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SIMONYAN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-808-7103"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arleta, CA

Sources for this page

Verify at the official NPI Registry.