Kings Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINGS HOME HEALTH, INC.

Practice address

15600 Devonshire St Ste 203
Granada Hills, CA 91344-7242

Phone

(800) 969-0506

NPI assigned

Aug 18, 2021

Organization subpart

Yes

Parent organization

LZ HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Larisa Zaratsian

Title

Ceo

Phone

(800) 969-0506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757420

Legal name

KINGS HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 1, 2023

Last certification

Aug 25, 2023

Organization structure

CorporationProprietary

Incorporated

Aug 5, 2021 in CA

Enrollment address

15600 Devonshire St
Ste 203
Granada Hills, CA 91344-7242

Listed as

Kings Home Health, Inc.CCN 757420

Ownership

-

Certified

Sep 1, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1447926548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 DEVONSHIRE ST STE 203",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447242",
            "telephone_number": "800-969-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 DEVONSHIRE ST STE 203",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447242",
            "telephone_number": "800-969-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LZ HOLDINGS, INC.",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "ZARATSIAN",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-969-0506"
    },
    "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 Granada Hills, CA
• Providers in Granada Hills, 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 Sep 15, 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.