Sam Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SAM HOME HEALTH, INC

Practice address

12444 Victory Blvd Ste 302
North Hollywood, CA 91606-3199

Phone

(818) 210-0337

NPI assigned

Nov 19, 2018

Last updated

Aug 23, 2021By 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

Vera Agopian

Title

Ceo

Phone

(818) 210-0337

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Sam Home Health, IncCCN 559192

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Feb 14, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Camille De la Cruz Kasingsing, NP

  • Family Nurse Practitioner
  • Pacoima, CA
  • NPI 1477349363
  NPD (past)

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1336618487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 BURBANK BLVD STE 108",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 302",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "818-210-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "AGOPIAN",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-210-0337"
    },
    "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": []
}

• Cain Saldana
• Amanda I Saldivar
• Benjie Martinez Sales
• Elsa Salguero, PH.D.
• Anthony Jose Salvatierra Lopez
• Sama Hospice, Inc.
• Rebecca Samad, LCSW
• Bianca Samarasinghe, LVN LPN
• Samaritan Home Health Agency, Inc.
• Nicole Sambas, PTA

• 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 Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.