Active NPI
Miras Home Health Care, Inc.
- Home Health Agency
- Reseda, CA
National Provider Identifier
1417523804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Overall star rating
- Ownership
- -
- Certified
- Jan 24, 2023
- 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 |
|---|---|---|---|
| 05D2295786 | Miras Home Health Care Inc | Certificate of waiver | Dec 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Irina Urbanovich | 5% Or Greater Direct Ownership Interest | Jan 12, 2021 | 100% |
| Corporate Officer | Jan 12, 2021 | ||
| Corporate Director | Jan 12, 2021 | ||
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.