La Good Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LA GOOD CARE

Practice address

3415 S Sepulveda Blvd Ste 1171
Los Angeles, CA 90034-6060

Phone

(818) 800-0506

Fax

(213) 402-6181

NPI assigned

Jan 3, 2022

Last updated

Jan 3, 2022By 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

Rafik Bazikian

Title

Ceo/Owner

Phone

(818) 800-0506

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 1366103368. Details of each certification follow.

• CCN 757778 Home health agency · Active · Details

Home health agency certification: CCN 757778

Legal name

LA GOOD CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 24, 2023

Last certification

Dec 8, 2023

Organization structure

CorporationProprietary

Enrollment address

3415 S Sepulveda Blvd
Ste 1171
Los Angeles, CA 90034-6060

Listed as

La Good CareCCN 757778 · All quality measures

Ownership

-

Certified

Dec 24, 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.

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1366103368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 S SEPULVEDA BLVD STE 1171",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346060",
            "telephone_number": "818-800-0506",
            "fax_number": "213-402-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S SEPULVEDA BLVD STE 1171",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346060",
            "telephone_number": "818-800-0506",
            "fax_number": "213-402-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA GOOD CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "BAZIKIAN",
        "authorized_official_first_name": "RAFIK",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-800-0506"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• La Home Assistance LLC

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 3, 2022; 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.