Organization Active NPI

Beverly Hills Home Health Care, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1386215333
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 757257 · All quality measures
Ownership
-
Certified
Mar 7, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Robert Sarukhanyan Individual 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

Sources for this page

Verify at the official NPI Registry.