Active NPI
Impact Home Health Care Inc
- Home Health Agency
- Encino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- IMPACT HOME HEALTH CARE INC
- Practice address
- 16430 Ventura Blvd Ste 200B
Encino, CA 91436-2135 - Phone
- (800) 484-0557
- Fax
- (855) 662-7926
- NPI assigned
- Oct 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yaroslava Markov
- Title
- Ceo
- Phone
- (800) 444-1960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
16430 Ventura Blvd Ste 200B
Encino, CA 91436-2135
Mailing address
16430 Ventura Blvd Ste 200B
Encino, CA 91436-2135
Phone (800) 484-0557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201218002094 | CA | Part A Provider - Home Health Agency | 8325450174 | Practice locations: Encino, CA |
Home health agency certification: CCN 757514
- Legal name
- IMPACT HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 26, 2023
- Last certification
- May 25, 2023
- Organization structure
- Corporation
- Incorporated
- Sep 9, 2020 in CA
- Enrollment address
- 16430 Ventura Blvd
Ste 202a
Encino, CA 91436-2125
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Impact Home Health Care, Inc.
- Overall star rating
- Ownership
- -
- Certified
- May 26, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
16430 Ventura Blvd
Ste 200B
Encino, CA 91436
Phone (800) 484-0557
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Yaroslava Markov | 5% Or Greater Direct Ownership Interest | Sep 9, 2020 | 50% |
| Corporate Officer | Sep 9, 2020 | 50% | |
| Corporate Director | Sep 9, 2020 | 50% | |
| W-2 Managing Employee | Sep 9, 2020 | 50% | |
| Olga Viter | 5% Or Greater Direct Ownership Interest | Sep 9, 2020 | 50% |
| Corporate Officer | Sep 9, 2020 | 50% | |
| Corporate Director | Sep 9, 2020 | 50% | |
| W-2 Managing Employee | Sep 9, 2020 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Sherman Oaks, CA
- NPI 1285418749
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Sherman Oaks, CA
- NPI 1285418749
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Pulmonary Disease Physician
- Beverly Hills, CA
- NPI 1447353313
Home health agency
-
- Internal Medicine Physician
- Woodland Hills, CA
- NPI 1285897421
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1326645672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16430 VENTURA BLVD STE 200B",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362135",
"telephone_number": "800-484-0557",
"fax_number": "855-662-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16430 VENTURA BLVD STE 200B",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362135",
"telephone_number": "800-484-0557",
"fax_number": "855-662-7926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPACT HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-08",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "MARKOV",
"authorized_official_first_name": "YAROSLAVA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-444-1960"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.