Organization Active NPI

Ultimate Care Health Care

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1346900743
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ULTIMATE CARE HEALTH CARE
Practice address
1770 N Highland Ave Ste J
Los Angeles, CA 90028-4430
Phone
(310) 957-9514
NPI assigned
Dec 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Armen TitizyanNPI 1174337232
Title
Ceo
Phone
(310) 957-9514

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1770 N Highland Ave Ste J
Los Angeles, CA 90028-4430

Mailing address

1770 N Highland Ave Ste J
Los Angeles, CA 90028-4430
Phone (310) 957-9514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221228000171 CA Part A Provider - Home Health Agency 0446620967 Practice locations: Los Angeles, CA

Home health agency certification: CCN 757621

Legal name
ULTIMATE CARE HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 26, 2024
Last certification
Jan 23, 2024
Organization structure
CorporationProprietary
Incorporated
Dec 14, 2021 in CA
Enrollment address
1770 N Highland Ave
St J
Los Angeles, CA 90028-4430

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ultimate Care Health CareCCN 757621
Overall star rating
3.5 of 5
Ownership
-
Certified
Jan 26, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1770 N Highland Ave
Ste J
Los Angeles, CA 90028
Phone (310) 957-9514

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Armen Titizyan Individual 5% Or Greater Direct Ownership Interest Dec 14, 2021 100%
Corporate Officer Dec 14, 2021 100%
Corporate Director Dec 14, 2021 100%
W-2 Managing Employee Dec 14, 2021 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1346900743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N HIGHLAND AVE STE J",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900284430",
            "telephone_number": "310-957-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N HIGHLAND AVE STE J",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900284430",
            "telephone_number": "310-957-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "TITIZYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-957-9514"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.