CNS Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CNS HOME HEALTH CARE INC

Practice address

401 N Brand Blvd Ste L102B
Glendale, CA 91203-4427

Phone

(818) 480-3114

NPI assigned

Feb 4, 2022

Last updated

Aug 7, 2023By 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

Shushan Papian

Title

Ceo

Phone

(818) 480-3114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346994704. Details of each certification follow.

• CCN 757703 Home health agency · Active · Details

Home health agency certification: CCN 757703

Legal name

CNS HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 8, 2024

Last certification

May 31, 2024

Organization structure

CorporationProprietary

Incorporated

Jan 18, 2022 in CA

Enrollment address

401 N Brand Blvd
Ste L102B
Glendale, CA 91203-4427

Listed as

CNS Home Health Care Inc.CCN 757703 · All quality measures

Overall star rating

3 of 5

Ownership

-

Certified

Jun 8, 2024

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.

• Ariel Monsanto Gavino, M.D.

  • Addiction Psychiatry Physician
  • Anaheim, CA
  • NPI 1659531994

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1346994704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE L102B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE L102B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427",
            "telephone_number": "818-480-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "PAPIAN",
        "authorized_official_first_name": "SHUSHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-480-3114"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrew Cofre
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• Donna M Coimbra-Emanuele, DNP, FNP-BC
• Domenic Colabella, O.D.

• 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 Aug 7, 2023; 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.