Active NPI
In-Home Health Care Support and Services LLC
- In Home Supportive Care Agency
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Setareh Torabian-Riasati, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 California
- Overall star rating
- Ownership
- -
- Certified
- Aug 18, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2214691 | In-Home Care California | Certificate of waiver | Feb 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Setareh Torabian-Riasati | 5% Or Greater Direct Ownership Interest | Oct 29, 2020 | 100% |
| Corporate Director | Oct 9, 2020 | 100% | |
| W-2 Managing Employee | 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.
-
- Registered Dietitian
- Santa Monica, CA
- NPI 1811165137
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery of the Spine Physician
- Orange, CA
- NPI 1629257688
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.