Impress Home Health Care,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMPRESS HOME HEALTH CARE,INC.

Practice address

10315 Woodley Ave Ste 207
Granada Hills, CA 91344-6950

Phone

(818) 574-5242

Fax

(818) 574-6292

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Andre Ovakimyan

Title

Ceo

Phone

(818) 574-5242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559501

Legal name

IMPRESS HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 21, 2021

Last certification

Mar 21, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 30, 2018 in CA

Enrollment address

10315 Woodley Ave
Ste 207
Granada Hills, CA 91344-6950

Listed as

Impress Home Health Care, IncCCN 559501

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Mar 21, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 2

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

Affiliated clinicians 1

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

• Devadas S. Moses, MD, FACP, DR.PH.

  • Internal Medicine Physician
  • Beaumont, CA
  • NPI 1023177607

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1295293702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 WOODLEY AVE STE 207",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446950",
            "telephone_number": "818-574-5242",
            "fax_number": "818-574-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 WOODLEY AVE STE 207",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446950",
            "telephone_number": "818-574-5242",
            "fax_number": "818-574-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESS HOME HEALTH CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "OVAKIMYAN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-574-5242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.