Breeze Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BREEZE HOME HEALTH CARE INC

Practice address

5107 Hollywood Blvd Apt 101
Los Angeles, CA 90027-6116

Phone

(323) 977-9000

Fax

(323) 977-7000

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Karen Avetisyan

Title

Ceo

Phone

(323) 977-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757316

Legal name

BREEZE HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 20, 2022

Last certification

Dec 20, 2022

Organization structure

CorporationProprietary

Incorporated

Feb 17, 2021 in CA

Enrollment address

5107 Hollywood Blvd
Suite 101
Los Angeles, CA 90027-6116

Listed as

Breeze Home Health Care, Inc.CCN 757316

Overall star rating

3.5 of 5

Ownership

-

Certified

Dec 20, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1306429980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 HOLLYWOOD BLVD APT 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276116",
            "telephone_number": "323-977-9000",
            "fax_number": "323-977-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 HOLLYWOOD BLVD APT 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276116",
            "telephone_number": "323-977-9000",
            "fax_number": "323-977-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-977-9000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen B. Bredt, MD
• Mai Lai Breech, PSY.D.
• Marnie Breecker, LMFT
• Riley Breen
• Samantha Breen
• Martay C Breeze, L.V.N.
• Ronald Joseph Bregenzer Jr., MA, AMFT
• Barbara Camille Breger, M.D.
• Josie Breger, LCSW
• Denise Breheny, IBCLC, RN

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 May 3, 2021; 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.