Alpha Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001117 Issued in CA

Legal business name

ALPHA HOME HEALTH

Practice address

3333 Concours BLDG 7
Suite 7100
Ontario, CA 91764-4875

Phone

(909) 466-8200

NPI assigned

Oct 6, 2009

Last updated

Jun 2, 2021By 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

Mrs. Edvard Gevorgyan

Title

Ceo

Phone

(818) 800-0144

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366777567. Details of each certification follow.

• CCN 059452 Home health agency · Active · Details

Home health agency certification: CCN 059452

Legal name

ALPHA HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 10, 2012

Last certification

Sep 20, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 3, 2008 in CA

Enrollment address

3333 Concours
Ste 7100
Ontario, CA 91764-5512
HHA Branch

Listed as

Alpha Home HealthCCN 059452 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Sep 10, 2012

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 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Estudillo, FNP-BC

  • Nurse Practitioner
  • Montclair, CA
  • NPI 1336853688
  NPD
• Ofelia Narvasa, M.D.

  • Family Medicine Physician
  • Chino Hills, CA
  • NPI 1558404558
  NPD (past)

Affiliated clinicians 7

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

• Anousheh Ashouri, M.D.

  • Hospitalist Physician
  • Riverside, CA
  • NPI 1336305036

  Home health agency

  Care Compare affiliation
• Qais Ayouby, MD

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1154884351

  Home health agency

  Care Compare affiliation
• Paul Edward Becker, FNP

  • Family Nurse Practitioner
  • Victorville, CA
  • NPI 1861993164

  Home health agency

  Care Compare affiliation
• Maxwell Jen, MD

  • Emergency Medicine Physician
  • Tustin, CA
  • NPI 1154688810

  Home health agency

  Care Compare affiliation
• Andro Sharobiem, M.D.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1073711453

  Home health agency

  Care Compare affiliation
• Hapetnak Shaybekyan, MD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1730754763

  Home health agency

  Care Compare affiliation
• Mohammad Modassir Siddiqui, MD

  • Family Medicine Physician
  • Chino, CA
  • NPI 1356963185

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1366777567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS BLDG 7",
            "address_2": "SUITE 7100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644875",
            "telephone_number": "909-466-8200",
            "fax_number": "909-466-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS BLDG 7",
            "address_2": "SUITE 7100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644875",
            "telephone_number": "909-466-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "EDVARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-800-0144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@alphahomehealth.org",
            "affiliation": "N",
            "address_1": "3333 Concours Bldg 7",
            "address_2": "Suite 7100",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917644875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Florifis Almero
• Hussein Alobaidi
• Diana Alonso
• Megan Alonzo, MS
• Natalie Luminosa Alonzo, M.S
• Dana Jeries Alrabadi
• Alfonso Altamirano Jr.
• Jessica Altamirano
• Crystalla Alter
• Diana Alva

• Home Health Agency in Ontario, CA
• Providers in Ontario, 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 Jun 2, 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.