Norris Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NORRIS HOME HEALTH, INC.

Practice address

10319 Norris Ave Ste B
Pacoima, CA 91331-2220

Phone

(747) 222-6189

Fax

(818) 484-2360

NPI assigned

Jan 8, 2019

Last updated

Jan 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Kotukyan

Title

Ceo

Phone

(747) 222-6189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306319785. Details of each certification follow.

• CCN 559205 Home health agency · Terminated · Details

Home health agency certification: CCN 559205

Legal name

NORRIS HOME HEALTH, INC

Doing business as

TRUSTEDCARE OF LOS ANGELES

Certification status

Terminated Voluntary: merger or closure, Jun 1, 2026

Provider type (POS)

Home health agency

Participating since

Mar 9, 2020

Last certification

Mar 9, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

1314 W Glenoaks Blvd
Ste 103a
Glendale, CA 91201-1978

Listed as

Norris Home Health, IncCCN 559205 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Mar 9, 2020

Medicare certification status

Terminated Voluntary: merger or closure, Jun 1, 2026From the Provider of Services file

Services

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

Locations

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.

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1306319785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 NORRIS AVE STE B",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913312220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10319 NORRIS AVE STE B",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913312220",
            "telephone_number": "747-222-6189",
            "fax_number": "818-484-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORRIS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "KOTUKYAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-222-6189"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Pacoima, CA
• Providers in Pacoima, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.