Saint Mariam Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SAINT MARIAM HOME HEALTH CARE

Practice address

1480 Colorado Blvd Ste 275
Los Angeles, CA 90041-2357

Phone

(323) 999-7515

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Marine Kyupelyan

Title

Ceo

Phone

(323) 777-7515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559140

Legal name

SAINT MARIAM HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 18, 2019

Last certification

Dec 18, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

1480 Colorado Blvd
Ste 275
Los Angeles, CA 90041-2283
HHA Branch

Listed as

Saint Mariam Home Health Care, IncCCN 559140

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Dec 18, 2019

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

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": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1326520065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD STE 275",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412357",
            "telephone_number": "323-999-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD STE 275",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412357",
            "telephone_number": "323-999-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARIAM HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "KYUPELYAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-777-7515"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saint Bishoy Medical Group
• Saint Christopher Hospice Inc
• Maureen Saint Georges Chaumet, M.D.
• Nyka Marie Saint Jean, APRN
• James David Saint John, MD
• Manuel Leonardo Saint Martin, MD
• Saint Mary Ped Neurog Med
• Saint Mary Pediatric Neurology Medical Clinic, Inc
• Jessica Dominique Saint-Paul, PA
• Ryushi T. Saisho, MD

• 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 Nov 20, 2018; 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.