Anoosh Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANOOSH HOME CARE

Practice address

3415 S Sepulveda Blvd Ste 1174
Los Angeles, CA 90034-6060

Phone

(818) 800-0506

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

David Bazikian

Title

Ceo/Owner

Phone

(818) 800-0506

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 1306507991. Details of each certification follow.

• CCN 757792 Home health agency · Active · Details

Home health agency certification: CCN 757792

Legal name

ANOOSH HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 1, 2024

Last certification

Jul 10, 2024

Organization structure

CorporationProprietary

Enrollment address

3415 S Sepulveda Blvd
Ste 1174
Los Angeles, CA 90034-6060

Listed as

Anoosh Home CareCCN 757792 · All quality measures

Ownership

-

Certified

Oct 1, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1306507991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 S SEPULVEDA BLVD STE 1174",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346060",
            "telephone_number": "818-800-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S SEPULVEDA BLVD STE 1174",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346060",
            "telephone_number": "818-800-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOOSH HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "BAZIKIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-800-0506"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Annis, DPT
• Joseph Annis, RADT
• Rim Annous, CCC-SLP
• Lavera Anom
• Toluwayemi Anomo
• Jesse C Anoraj, CMT, NMT
• Aminadi Saetth Anorve
• Ans Medical Group, a Professional Corporation
• Ansar El Muhammad Doula LLC
• Ashkon Ansari

• 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 Jan 5, 2022; 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.