MK Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MK HOME HEALTH SERVICES

Practice address

930 Colorado Blvd Ste 1
Los Angeles, CA 90041-1735

Phone

(323) 640-3016

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Anna Kushkyan

Title

Cfo

Phone

(323) 640-3016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757692

Legal name

MK HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 10, 2024

Last certification

May 10, 2024

Organization structure

CorporationProprietary

Enrollment address

512 E Wilson Ave
Ste 314
Glendale, CA 91206-4351

Listed as

MK Home Health ServicesCCN 757692

Ownership

-

Certified

May 10, 2024

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 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1407423379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 COLORADO BLVD STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411735",
            "telephone_number": "323-640-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 COLORADO BLVD STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411735",
            "telephone_number": "323-640-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "KUSHKYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-640-3016"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Mizuno
• Nancy A Mizuno, CRNA
• Sean Mizuno
• Chris Kazumi Mizunuma, DPT
• MJB Transitional Recovery, Inc.
• Irina Mkchyan, NP
• Lilit Mkhitarian, LCSW
• Lily Amanda Mkhitarian, MA
• Ruzanna Mkhitarian
• Armine Mkhitaryan-Golightly

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 8, 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.

Verify at the official NPI Registry.