Avia Home Health Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVIA HOME HEALTH SERVICES INC.

Practice address

1307 W 6TH St Ste 119B
Corona, CA 92882-1642

Phone

(951) 215-5300

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Pogos Koshkaryan

Title

Ceo

Phone

(951) 215-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059606

Legal name

AVIA HOME HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 28, 2013

Last certification

Jul 19, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 28, 2012 in CA

Enrollment address

1307 W 6TH St
Ste 119B
Corona, CA 92882-1642
HHA Branch

Listed as

Avia Home Health Services, IncCCN 059606

Ownership

Proprietary

Certified

Aug 28, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

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": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1437417631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W 6TH ST STE 119B",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821642",
            "telephone_number": "951-215-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W 6TH ST STE 119B",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821642",
            "telephone_number": "951-215-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIA HOME HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "KOSHKARYAN",
        "authorized_official_first_name": "POGOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-215-5300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Corona, CA
• Providers in Corona, 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 20, 2012; 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.