Organization Active NPI

In-Home Health Care Support and Services LLC

  • In Home Supportive Care Agency
  • Tarzana, CA
National Provider Identifier
1386248318
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IN-HOME HEALTH CARE SUPPORT AND SERVICES LLC
Practice address
19618 Ventura Blvd Ste 228
Tarzana, CA 91356-7107
Phone
(818) 458-9168
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Setareh Torabian-Riasati, MDNPI 1811165137
Title
President/Administrator
Phone
(818) 458-9168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

19618 Ventura Blvd Ste 228
Tarzana, CA 91356-7107

Mailing address

17343 Nordhoff St
Northridge, CA 91325-2401
Phone (818) 458-9168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210326000166 CA Part A Provider - Home Health Agency 5991112567 Practice locations: Tarzana, CA

Home health agency certification: CCN 757071

Legal name
IN-HOME HEALTH CARE SUPPORT AND SERVICES LLC
Doing business as
IN-HOME CARE CALIFORNIA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 18, 2022
Last certification
Aug 18, 2022
Organization structure
LLCProprietary
Incorporated
Oct 9, 2020 in CA
Enrollment address
19626 Ventura Blvd
Ste 228
Tarzana, CA 91356-6074

Care Compare: Home health agency

Medicare Care Compare
Listed as
In-Home Care CaliforniaCCN 757071 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Aug 18, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2214691In-Home Care California19626 Ventura Blvd Ste 228, Tarzana, CA 91356Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory

Locations

19618 Ventura Blvd
Ste 228
Tarzana, CA 91356
Phone (818) 458-9168

19626 Ventura Blvd
Ste 228
Tarzana, CA 91356
Phone (818) 458-9168

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
Setareh Torabian-Riasati Individual 5% Or Greater Direct Ownership Interest Oct 29, 2020 100%
Corporate DirectorPresident Oct 9, 2020 100%
W-2 Managing EmployeePresident Oct 9, 2020 100%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1386248318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17343 NORDHOFF ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252401",
            "telephone_number": "818-458-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19618 VENTURA BLVD STE 228",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913567107",
            "telephone_number": "818-458-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOME HEALTH CARE SUPPORT AND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "TORABIAN-RIASATI",
        "authorized_official_first_name": "SETAREH",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-458-9168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.