Active NPI
Beverly Hills Home Health Care, Inc.
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1386215333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BEVERLY HILLS HOME HEALTH CARE, INC.
- Practice address
- 6404 Wilshire Blvd Ste 940
Los Angeles, CA 90048-5523 - Phone
- (424) 566-1518
- Fax
- (310) 861-0155
- NPI assigned
- Jul 9, 2021
- Last updated
- Jul 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Sarukhanyan
- Title
- Ceo
- Phone
- (424) 566-1518
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
6404 Wilshire Blvd Ste 940
Los Angeles, CA 90048-5523
Mailing address
6404 Wilshire Blvd Ste 940
Los Angeles, CA 90048-5523
Phone (424) 566-1518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220524001547 | CA | Part A Provider - Home Health Agency | 0547647976 | Practice locations: Los Angeles, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1386215333. Details of each certification follow.
Home health agency certification: CCN 757257
- Legal name
- BEVERLY HILLS HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 7, 2023
- Last certification
- Mar 7, 2023
- Organization structure
- Corporation
- Incorporated
- Jun 23, 2021 in CA
- Enrollment address
- 6404 Wilshire Blvd
Ste 940
Los Angeles, CA 90048-5523
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Beverly Hills Home Health Care, Inc.
- Ownership
- -
- Certified
- Mar 7, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
6404 Wilshire Blvd
Ste 940
Los Angeles, CA 90048
Phone (424) 566-1518
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Sarukhanyan | 5% Or Greater Direct Ownership Interest | Jun 23, 2021 | 100% |
| Corporate Officer | Jun 23, 2021 | ||
| Corporate Director | Jun 23, 2021 | ||
| W-2 Managing Employee | Jun 23, 2021 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625788800000",
"number": "1386215333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 WILSHIRE BLVD STE 940",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485523",
"telephone_number": "424-566-1518",
"fax_number": "310-861-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 WILSHIRE BLVD STE 940",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485523",
"telephone_number": "424-566-1518",
"fax_number": "310-861-0155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY HILLS HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A",
"authorized_official_last_name": "SARUKHANYAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "424-566-1518"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Beverly Hills Gastroenterology Associates
- Beverly Hills Hand & Rehab Ctr
- Beverly Hills Health and Aesthetics Center, Inc
- Beverly Hills Health Care Group Inc
- Beverly Hills Health Inc (Beverly Hills Health)
- Beverly Hills Hyperbarics, LLC
- Beverly Hills Institute for Pain Management
- Beverly Hills Institute of Gastroenterology
- Beverly Hills Integrative Medicine Group Inc
- Beverly Hills Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.