Innova Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVA HOME HEALTH INC

Practice address

1011 Camino del Rio S Ste 415
San Diego, CA 92108-3525

Phone

(619) 439-0899

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Armen Karakhanov

Title

Ceo

Phone

(619) 439-0899

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 753174

Legal name

INNOVA HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 23, 2022

Last certification

Aug 23, 2022

Organization structure

CorporationProprietary

Incorporated

Apr 2, 2021 in CA

Enrollment address

9245 Dowdy Dr
Ste 217
San Diego, CA 92126-6388
HHA Branch

Listed as

Innova Home Health, IncCCN 753174

Ownership

-

Certified

Aug 23, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Azhar Muttalib, M.D.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1124054721

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1467032896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 DOWDY DR STE 217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CAMINO DEL RIO S STE 415",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083525",
            "telephone_number": "619-439-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "KARAKHANOV",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-439-0899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Joseph Innes, MD
• Inniss Physical Therapy, a Professional Corporation
• Bruce Boswell Inniss, RPT, OCS
• Leah Ashton Inniss, RPT
• Dulce Illiana Innocenzi, MD
• Innova Hospice Inc.
• Innovations Academy
• Innovative Physical Therapy Inc
• Innovative Plastic & Cosmetic Surgery Inc
• Innovative Surgery Center LLC

• Home Health Agency in San Diego, CA
• Providers in San Diego, 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 Feb 21, 2024; 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.