Active NPI
RTH Medcare
- Home Health Agency
- Arleta, CA
National Provider Identifier
1265151260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 3171 Los Feliz Blvd
Ste 216
Los Angeles, CA 90039-1536
Care Compare: Home health agency
Medicare Care Compare- Listed as
- RTH Medcare
- Overall star rating
- Ownership
- -
- Certified
- Dec 23, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Liana Simonyan | 5% Or Greater Direct Ownership Interest | Aug 22, 2022 | 100% |
| Corporate Officer | Aug 22, 2022 | 100% | |
| Corporate Director | Aug 22, 2022 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.