Organization Active NPI

Pure Care Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1295239028
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURE CARE HOME HEALTH INC
Practice address
6742 Van Nuys Blvd Ste 201
Van Nuys, CA 91405-4611
Phone
(818) 748-6441
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Ms. Elmira Shahinyan
Title
Ceo
Phone
(818) 748-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6742 Van Nuys Blvd Ste 201
Van Nuys, CA 91405-4611

Mailing address

6742 Van Nuys Blvd Ste 201
Van Nuys, CA 91405-4611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190912000743 CA Part A Provider - Home Health Agency 9133458458 Practice locations: Glendale, CA

Home health agency certification: CCN 559207

Legal name
PURE CARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 18, 2020
Last certification
Mar 18, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
225 E Broadway
Ste 305E
Glendale, CA 91205-5514

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pure Care Home Health IncCCN 559207
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Mar 18, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2169988Pure Care Home Health Inc225 E Broadway Ste 305 E, Glendale, CA 91205Certificate of waiverJul 30, 2027

National Provider Directory

National Provider Directory

Locations

225 E Broadway
Ste 305E
Glendale, CA 91205
Phone (818) 748-6441

6742 Van Nuys Blvd
Ste 201
Van Nuys, CA 91405
Phone (323) 302-1425

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
Elmira Shahinyan Individual 5% Or Greater Direct Ownership InterestOwner Jan 29, 2018 100%
Corporate OfficerCeo/Cfo/Secretary/Owner Jan 29, 2018 100%
Corporate DirectorCeo/Cfo/Secretary/Owner Jan 29, 2018 100%
W-2 Managing EmployeeCeo Jan 29, 2018

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1295239028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054611",
            "telephone_number": "818-748-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "SHAHINYAN",
        "authorized_official_first_name": "ELMIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-748-6441",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.