Kristoraf Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KRISTORAF HOME HEALTH, INC.

Practice address

14640 Victory Blvd
Ste 214
Van Nuys, CA 91411-1623

Phone

(818) 779-0877

Fax

(818) 779-0873

NPI assigned

Jul 10, 2014

Organization subpart

No

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

Authorized official

Name

Rafael Makaryan

Title

President/Ceo

Phone

(818) 779-0877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059754

Legal name

KRISTORAF HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 6, 2016

Last certification

May 31, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 1, 2014 in CA

Enrollment address

2505 Canada Blvd
Ste 4
Glendale, CA 91208-2094

Listed as

Kristoraf Home Health, IncCCN 059754

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Sep 6, 2016

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 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rica Bonomo, M.D.

  • Emergency Medicine Physician
  • Oceanside, CA
  • NPI 1174797948

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1457767444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD",
            "address_2": "STE 214",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "818-779-0877",
            "fax_number": "818-779-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD",
            "address_2": "STE 214",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "818-779-0877",
            "fax_number": "818-779-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTORAF HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "MAKARYAN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-779-0877"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard James Kratochvil, D.D.S.
• Rose Ann Kratsas Ozrey
• Janice E. Krattiger, M.A.
• Alina Krikorian, LMFT
• Krishana Rivas, Psy.D., a Psychological Corporation
• Jennifer Pearl Krohn, MMSC, PA, RDN, CDE
• Kruin Medical Products, Inc.
• Giliel Stefan Kryger, M.D.
• Susan Yuen Kryzman, MD
• Kseniya Kulyakina

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Jul 10, 2014; 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.