Organization Active NPI

La Care Home Health Services, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1356708010
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LA CARE HOME HEALTH SERVICES, INC.
Practice address
178 S Victory Blvd Ste 206
Burbank, CA 91502-2881
Phone
(818) 238-9100
Fax
(818) 238-9102
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Edwin Haratonians
Title
Ceo
Phone
(818) 238-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

178 S Victory Blvd Ste 206
Burbank, CA 91502-2881

Mailing address

178 S Victory Blvd Ste 206
Burbank, CA 91502-2881
Phone (818) 238-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190308002296 CA Part A Provider - Home Health Agency 9739428707 Practice locations: Burbank, CA

Home health agency certification: CCN 757441

Legal name
LA CARE HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 30, 2023
Last certification
Jun 29, 2023
Organization structure
CorporationProprietary
Incorporated
May 5, 2015 in CA
Enrollment address
178 S Victory Blvd
Ste 206
Burbank, CA 91502-2881

Care Compare: Home health agency

Medicare Care Compare
Listed as
La Care Home Health Services, Inc.CCN 757441
Ownership
-
Certified
Jun 30, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

178 S Victory Blvd
Ste 206
Burbank, CA 91502
Phone (818) 238-9100

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
Edwin Haratonians Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary/Board Member May 3, 2018 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member May 3, 2018 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member May 3, 2018 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member May 3, 2018 100%

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1356708010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 S VICTORY BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022881",
            "telephone_number": "818-238-9100",
            "fax_number": "818-238-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 S VICTORY BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022881",
            "telephone_number": "818-238-9100",
            "fax_number": "818-238-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "HARATONIANS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-238-9100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.