Top Form Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TOP FORM HOME HEALTH CARE, INC.

Practice address

14529 Archwood St Ste 102
Van Nuys, CA 91405-4602

Phone

(747) 877-2781

Fax

(747) 877-2783

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Roza Rozie Avsharyan

Title

Ceo

Phone

(747) 877-2781

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757399

Legal name

TOP FORM HOME HEALTH CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 13, 2023

Last certification

Sep 13, 2023

Organization structure

CorporationProprietary

Incorporated

May 27, 2021 in CA

Enrollment address

2829 W Burbank Blvd
Ste 202B
Burbank, CA 91505-2300

Listed as

Top Form Home Health Care, Inc.CCN 757399

Overall star rating

4 of 5

Ownership

-

Certified

Sep 13, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 1

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

• Bisharah Syeda Rizvi, MD

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1447693882

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1346913324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14529 ARCHWOOD ST STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054602",
            "telephone_number": "747-877-2781",
            "fax_number": "747-877-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14529 ARCHWOOD ST STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054602",
            "telephone_number": "747-877-2781",
            "fax_number": "747-877-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP FORM HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "AVSHARYAN",
        "authorized_official_first_name": "ROZA",
        "authorized_official_middle_name": "ROZIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-877-2781"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Marie Tombline
• Tomorrow'S Promises
• Kalleope Rhea Tompros, ACSW
• Makenna Rose Tondro
• Tony Chung,MD,DMD,Inc.
• Marissa Topete
• Kunchok Topgyal
• Celine Torosyan
• Srbui Torosyan
• Fernando Torres-Nsear, PA

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Jul 27, 2021; 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.