Envision Home Health Service Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

NONE YET Issued in CA

Legal business name

ENVISION HOME HEALTH SERVICE INC

Practice address

17725 Crenshaw Blvd Ste #302
Torrance, CA 90504

Phone

(310) 515-1246

Fax

(310) 515-1721

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Kristina Kegeyan

Title

Ceo

Phone

(818) 522-9252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559770

Legal name

ENVISION HOME HEALTH SERVICE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 20, 2022

Last certification

May 20, 2022

Organization structure

CorporationProprietary

Incorporated

Aug 1, 2020 in CA

Enrollment address

17725 Crenshaw Blvd
Ste 302
Torrance, CA 90504-4157
HHA Branch

Listed as

Envision Home Health Service, Inc.CCN 559770

Overall star rating

4 of 5

Ownership

-

Certified

May 20, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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 1

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

• Doris Ego Onuohah, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
  • NPI 1578765137
  NPD (past)

Affiliated clinicians 2

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

• Armen Hagopjanian, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
  • NPI 1972510840

  Home health agency

  Care Compare affiliation
• Ashkan Soleymani, DPM

  • Sports Medicine Podiatrist
  • Tarzana, CA
  • NPI 1770525065

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1386840460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17725 CRENSHAW BLVD STE #302",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90504",
            "telephone_number": "310-515-1246",
            "fax_number": "310-515-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17725 CRENSHAW BLVD STE #302",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90504",
            "telephone_number": "310-515-1246",
            "fax_number": "310-515-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION HOME HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "KEGEYAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-522-9252"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "NONE YET",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Torrance, CA
• Providers in Torrance, 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 Feb 17, 2022; 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.