Illuminating Care Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ILLUMINATING CARE HOME HEALTH, INC.

Practice address

6420 Coldwater Canyon Ave Ste 204 - 205
North Hollywood, CA 91606-1139

Phone

(818) 341-1717

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Anna Tutunjian

Title

Ceo

Phone

(818) 341-1717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757659

Legal name

ILLUMINATING CARE HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 26, 2024

Last certification

Apr 24, 2024

Organization structure

CorporationProprietary

Incorporated

Jan 1, 2022 in CA

Enrollment address

6420 Coldwater Canyon Ave
Ste 204-205
North Hollywood, CA 91606-1139
HHA Branch

Listed as

Illuminating Care Home Health, Inc.CCN 757659 · All quality measures

Overall star rating

2.5 of 5

Ownership

-

Certified

Apr 26, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Armen Titizyan, NP

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1174337232

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1326799719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 COLDWATER CANYON AVE STE 204 - 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061139",
            "telephone_number": "818-341-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 COLDWATER CANYON AVE STE 204 - 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061139",
            "telephone_number": "818-341-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATING CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "TUTUNJIAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-341-1717"
    },
    "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 North Hollywood, CA
• Providers in North Hollywood, 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 8, 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.