A&G Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A&G HOME HEALTH CARE, INC.

Practice address

6005 Vineland Ave
Ste 206
North Hollywood, CA 91606-4981

Phone

(818) 761-1702

Fax

(844) 273-2796

NPI assigned

May 21, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Gohar Mikayelyan

Title

President/Ceo

Phone

(818) 761-1702

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 053167

Legal name

A & G HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 26, 2018

Last certification

Feb 15, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 1, 2015 in CA

Enrollment address

6005 Vineland Ave 206
North Hollywood, CA 91606-4984

Listed as

A & G Home Health Care, IncCCN 053167

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Apr 26, 2018

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

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": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1326427436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 VINELAND AVE",
            "address_2": "STE 206",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064981",
            "telephone_number": "818-761-1702",
            "fax_number": "844-273-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 VINELAND AVE",
            "address_2": "STE 206",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064981",
            "telephone_number": "818-761-1702",
            "fax_number": "844-273-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&G HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "MIKAYELYAN",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-761-1702",
        "authorized_official_name_prefix": "Ms."
    },
    "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 California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.