Organization Active NPI

Florence Home Health Care

  • Home Health Agency
  • Thousand Oaks, CA
National Provider Identifier
1295990034
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLORENCE HOME HEALTH CARE
Practice address
2521 E Thousand Oaks Blvd
Thousand Oaks, CA 91362-3259
Phone
(805) 497-1674
NPI assigned
Jul 21, 2008
Last updated
May 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Mr. Reza Farahani
Title
Ceo
Phone
(805) 497-1674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2521 E Thousand Oaks Blvd
Thousand Oaks, CA 91362-3259

Mailing address

2521 E Thousand Oaks Blvd
Thousand Oaks, CA 91362-3259
Phone (805) 497-1674

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000535 CA Part A Provider - Home Health Agency 6204900541 Practice locations: Thousand Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295990034. Details of each certification follow.

Home health agency certification: CCN 059243

Legal name
FLORENCE HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 29, 2010
Last certification
May 31, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 7, 2008 in CA
Enrollment address
2521 E Thousand Oaks Blvd
Thousand Oaks, CA 91362-3259

Care Compare: Home health agency

Medicare Care Compare
Listed as
Florence Home Health CareCCN 059243 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jul 29, 2010
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
05D2005320Florence Home Health Care2521 E Thousand Oaks Blvd, Thousand Oaks, CA 91362Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

2521 E Thousand Oaks Blvd
Thousand Oaks, CA 91362
Phone (805) 497-1674

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Aryan Jamali Individual 5% Or Greater Direct Ownership Interest Dec 30, 2019 27.5%
Corporate OfficerVice President Dec 30, 2019 27.5%
Corporate DirectorDirector of Patient Care Service Dec 30, 2019 27.5%
W-2 Managing EmployeeDirector of Patient Care Service Dec 30, 2019 27.5%
Reza Zamani Farahani Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2019 27.5%
Corporate OfficerPresident, Secretary , Treas Dec 30, 2019 27.5%
W-2 Managing EmployeeAdministrator, Operations Manage Dec 30, 2019 27.5%
Operational/Managerial ControlAdministrator, Operations Manage Dec 30, 2019 27.5%
Parsa Farahani Individual 5% Or Greater Direct Ownership Interest Jul 20, 2016 45%
Parviz Amini Individual Contracted Managing Employee Jul 24, 2008

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1295990034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623259",
            "telephone_number": "805-497-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623259",
            "telephone_number": "805-497-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "FARAHANI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-497-1674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.