Los Feliz Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LOS FELIZ HEALTH CARE, INC.

Practice address

3111 Los Feliz Blvd Ste 203a
Los Angeles, CA 90039-1585

Phone

(323) 486-7639

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Nelli Mayilyan

Title

Ceo

Phone

(323) 486-7639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559697

Legal name

LOS FELIZ HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 30, 2021

Last certification

Jun 30, 2021

Organization structure

CorporationProprietary

Incorporated

May 11, 2020 in CA

Enrollment address

3111 Los Feliz Blvd
Suite 203a
Los Angeles, CA 90039-1585

Listed as

Los Feliz Health Care, IncCCN 559697

Ownership

-

Certified

Jun 30, 2021

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.

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1467061580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD STE 203A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391585",
            "telephone_number": "323-486-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD STE 203A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391585",
            "telephone_number": "323-486-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS FELIZ HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "MAYILYAN",
        "authorized_official_first_name": "NELLI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-486-7639"
    },
    "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 Los Angeles, CA
• Providers in Los Angeles, 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 24, 2020; 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.