Organization Active NPI

Miras Home Health Care, Inc.

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1417523804
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIRAS HOME HEALTH CARE, INC.
Practice address
6900 Canby Ave Ste 110
Reseda, CA 91335-8731
Phone
(747) 254-4090
Fax
(818) 975-5221
NPI assigned
May 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Irina Urbanovich
Title
Ceo
Phone
(747) 254-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6900 Canby Ave Ste 110
Reseda, CA 91335-8731

Mailing address

6900 Canby Ave Ste 110
Reseda, CA 91335-8731
Phone (747) 254-4090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221220000791 CA Part A Provider - Home Health Agency 5698144343 Practice locations: Reseda, CA

Home health agency certification: CCN 757105

Legal name
MIRAS HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 24, 2023
Last certification
Jan 24, 2023
Organization structure
CorporationProprietary
Incorporated
Jan 12, 2021 in CA
Enrollment address
6900 Canby Ave
Ste 110
Reseda, CA 91335-8731

Care Compare: Home health agency

Medicare Care Compare
Listed as
Miras Home Health Care, Inc.CCN 757105
Overall star rating
3.5 of 5
Ownership
-
Certified
Jan 24, 2023
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
05D2295786Miras Home Health Care Inc6900 Canby Ave Ste 110, Reseda, CA 91335Certificate of waiverDec 14, 2027

National Provider Directory

National Provider Directory

Locations

6900 Canby Ave
Ste 110
Reseda, CA 91335
Phone (747) 254-4090

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
Irina Urbanovich Individual 5% Or Greater Direct Ownership InterestCeo Jan 12, 2021 100%
Corporate OfficerCeo Jan 12, 2021
Corporate DirectorCeo Jan 12, 2021
W-2 Managing EmployeeCeo Jan 12, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1417523804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 CANBY AVE STE 110",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358731",
            "telephone_number": "747-254-4090",
            "fax_number": "818-975-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 CANBY AVE STE 110",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358731",
            "telephone_number": "747-254-4090",
            "fax_number": "818-975-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAS HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "URBANOVICH",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-254-4090"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.