Beverly Healing Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BEVERLY HEALING HOME CARE, INC.

Practice address

17929 Ventura Blvd
Ste #6
Encino, CA 91316-3633

Phone

(310) 210-4120

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Mozhgan Yazdi

Title

President/Ceo

Phone

(310) 210-4120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559011

Legal name

BEVERLY HEALING HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 4, 2019

Last certification

Apr 4, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

17929 Ventura Blvd
Ste 6
Encino, CA 91316-3693

Listed as

Beverly Healing Home Care, IncCCN 559011

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Apr 4, 2019

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 7

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

• Behnaz Haghighi Motlagh, M.D.

  • Family Medicine Physician
  • Laguna Niguel, CA
  • NPI 1902125776

  Home health agency

  Care Compare affiliation
• Gemelia Holgado Aguilera, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1972616100

  Home health agency

  Care Compare affiliation
• Manouchehr Rashti, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1679509871

  Home health agency

  Care Compare affiliation
• Manuel Ramon Sacapano, M.D.

  • General Practice Physician
  • Hawaiian Gardens, CA
  • NPI 1851315980

  Home health agency

  Care Compare affiliation
• Pouya Shafipour, MD

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1952426454

  Home health agency

  Care Compare affiliation
• Homayoun Sharim, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1033145701

  Home health agency

  Care Compare affiliation
• Sohrab Yamini, M.D.

  • Gastroenterology Physician
  • Los Angeles, CA
  • NPI 1689601858

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1477003648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17929 VENTURA BLVD",
            "address_2": "STE #6",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163633",
            "telephone_number": "310-210-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17929 VENTURA BLVD",
            "address_2": "STE #6",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163633",
            "telephone_number": "310-210-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HEALING HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "YAZDI",
        "authorized_official_first_name": "MOZHGAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-210-4120"
    },
    "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 Encino, CA
• Providers in Encino, 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 Oct 11, 2016; 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.