Firstmed Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRSTMED HOME HEALTH

Practice address

616 Granada St Apt 3
Glendale, CA 91205-2376

Phone

(818) 938-9214

Fax

(818) 938-9219

NPI assigned

Apr 2, 2019

Last updated

Apr 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikayel Shatveryan

Title

Ceo

Phone

(818) 938-9214

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336601970. Details of each certification follow.

• CCN 757232 Home health agency · Active · Details

Home health agency certification: CCN 757232

Legal name

FIRSTMED HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 20, 2022

Last certification

Oct 20, 2022

Organization structure

CorporationProprietary

Enrollment address

17620 Sherman Way
Ste 209
Van Nuys, CA 91406-3527

Listed as

Firstmed Home HealthCCN 757232 · All quality measures

Ownership

-

Certified

Oct 20, 2022

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 2

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Trong B Nguyen, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fountain Valley, CA
  • NPI 1427221134

  Home health agency

  Care Compare affiliation
• Araksya Vardanyan, NP

  • Family Nurse Practitioner
  • Sylmar, CA
  • NPI 1376013839

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1336601970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 GRANADA ST APT 3",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052376",
            "telephone_number": "818-938-9214",
            "fax_number": "818-938-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 GRANADA ST APT 3",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052376",
            "telephone_number": "818-938-9214",
            "fax_number": "818-938-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTMED HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "SHATVERYAN",
        "authorized_official_first_name": "MIKAYEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-938-9214"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Signature Home Health Care, Inc.
• First Stop RX, Inc (First Stop Pharmacy)
• First Way Home Health Care Inc.
• Firstcare Diagnostic Services,Inc
• Firstcare Med Supply Inc (Firstcare Med Supply)
• Christian Fischer
• Monika Inslee Fischer, ANP
• Blake Fishel
• Madeleine Claire Fisher
• Sidney Fisher

• Home Health Agency in Glendale, CA
• Providers in Glendale, 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 Apr 2, 2019; 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.