Summit Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000605 Issued in CA

Legal business name

SUMMIT HOME HEALTH, INC

Practice address

2139 Tapo St
Ste. # 210
Simi Valley, CA 93063-3478

Phone

(805) 584-3000

Fax

(805) 584-3010

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keon Mardanpour

Title

Owner / Administrator

Phone

(805) 584-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angels of Summit Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058442

Legal name

SUMMIT HOME HEALTH, INC

Doing business as

ANGELS OF SUMMIT HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 3, 2008

Last certification

Nov 19, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 29, 2006 in CA

Enrollment address

2139 Tapo St
Ste 210
Simi Valley, CA 93063-3476

Listed as

Angels of Summit Home HealthCCN 058442

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Apr 3, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

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

• Lisa M Teevan, NP

  • Family Nurse Practitioner
  • Simi Valley, CA
  • NPI 1720952880
  NPD (past)

Affiliated clinicians 4

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

• Farid Azizollahi, MD

  • Family Medicine Physician
  • Beverly Hills, CA
  • NPI 1649328519

  Home health agency

  Care Compare affiliation
• Seyed Farhad N Chimeh, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1306820220

  Home health agency

  Care Compare affiliation
• Arman Hekmati, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1326080128

  Home health agency

  Care Compare affiliation
• Ramesh V Nathan, MD

  • Infectious Disease Physician
  • Thousand Oaks, CA
  • NPI 1215025291

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684627200000",
    "number": "1366528408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST",
            "address_2": "STE. # 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633478",
            "telephone_number": "805-584-3000",
            "fax_number": "805-584-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST",
            "address_2": "STE. # 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633478",
            "telephone_number": "805-584-3000",
            "fax_number": "805-584-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A",
        "authorized_official_last_name": "MARDANPOUR",
        "authorized_official_first_name": "KEON",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "805-584-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08442F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels of Summit Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Suard
• Kristeen Marie Succa, MS, BCBA
• Jan Suckut, D.C.
• Melanie Suljada, NP
• Maral Pushian Sultanian, LMFT
• Summit Optometric Eyecare
• Li Sun
• Nancy Sun, M.D.
• Nichole Sun, DDS, MS
• Megha Sundar, LMFT

• Home Health Agency in Simi Valley, CA
• Providers in Simi Valley, 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 May 21, 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.