Organization Active NPI

TCM Home Health Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1407434798
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TCM HOME HEALTH INC.
Practice address
18321 Ventura Blvd Ste 820
Tarzana, CA 91356-4263
Phone
(818) 921-4042
Fax
(888) 318-8438
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Oleg Ahamian
Title
Ceo
Phone
(818) 921-4042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18321 Ventura Blvd Ste 820
Tarzana, CA 91356-4263

Mailing address

18321 Ventura Blvd Ste 820
Tarzana, CA 91356-4263
Phone (818) 921-4042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220923000934 CA Part A Provider - Home Health Agency 2668857889 Practice locations: Tarzana, CA

Home health agency certification: CCN 757182

Legal name
TCM HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 2022
Last certification
Dec 22, 2022
Organization structure
CorporationProprietary
Incorporated
Jan 27, 2020 in CA
Enrollment address
18321 Ventura Blvd
Ste 820
Tarzana, CA 91356-4263

Care Compare: Home health agency

Medicare Care Compare
Listed as
TCM Home Health IncCCN 757182 · All quality measures
Ownership
-
Certified
Dec 22, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18321 Ventura Blvd
Ste 820
Tarzana, CA 91356
Phone (310) 407-9396

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
Oleg Ahamian Individual 5% Or Greater Direct Ownership InterestOwner/Ceo/President Jan 29, 2021 100%
Corporate OfficerPresident/Ceo/Secretary/Cfo/Owner Jan 29, 2021 100%
Corporate DirectorPresident/Ceo/Secretary/Cfo/Owner Jan 29, 2021 100%
W-2 Managing EmployeePresident/Ceo/Secretary/Cfo/Owner Jan 29, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1407434798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18321 VENTURA BLVD STE 820",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564263",
            "telephone_number": "818-921-4042",
            "fax_number": "888-318-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 VENTURA BLVD STE 820",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564263",
            "telephone_number": "818-921-4042",
            "fax_number": "888-318-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCM HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "AHAMIAN",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-921-4042"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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.