Organization Active NPI

M & M Home Health, Inc.

  • Prosthetic/Orthotic Supplier
  • Los Angeles, CA
National Provider Identifier
1346432325
Registry record updated Aug 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
M & M HOME HEALTH, INC.
Practice address
5207 W Sunset Blvd
Los Angeles, CA 90027-5709
Phone
(323) 661-8004
Fax
(818) 507-9962
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2012

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

Authorized official

Name
Martiros Mishidzhyan, CPEDNPI 1033247515
Title
President
Phone
(323) 661-8004

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)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

5207 W Sunset Blvd
Los Angeles, CA 90027-5709

Mailing address

5207 W Sunset Blvd
Los Angeles, CA 90027-5709
Phone (323) 661-8004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930059475 CA DME Supplier - Medical Supply CompanyDME Supplier - Certified Orth/Pros/Pedorthist 3375745078 Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Therapeutic Shoe Center5207 W Sunset Blvd, Los Angeles, CA 90027-5709(323) 661-8004 Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Apr 21, 2006

National Provider Directory

National Provider Directory

Locations

5207 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 661-8004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345248000000",
    "number": "1346432325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275709",
            "telephone_number": "323-661-8004",
            "fax_number": "818-507-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275709",
            "telephone_number": "323-661-8004",
            "fax_number": "818-507-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2012-08-18",
        "status": "A",
        "authorized_official_last_name": "MISHIDZHYAN",
        "authorized_official_first_name": "MARTIROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-661-8004",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.