Organization Active NPI

Deluxe Health Care Services, Inc

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1487036505
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DELUXE HEALTH CARE SERVICES, INC
Practice address
585 E Los Angeles Ave Suite G
Simi Valley, CA 93065
Phone
(805) 864-9018
Fax
(805) 864-9019
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Mr. Artashes Mamadjanyan
Title
Ceo
Phone
(805) 864-9018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

585 E Los Angeles Ave Suite G
Simi Valley, CA 93065

Mailing address

585 E Los Angeles Ave Suite G
Simi Valley, CA 93065
Phone (805) 864-9018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190408002931 CA Part A Provider - Home Health Agency 8022353036 Practice locations: Northridge, CA

Home health agency certification: CCN 553181

Legal name
DELUXE HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 29, 2019
Last certification
Mar 29, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 15, 2015 in CA
Enrollment address
8817 Reseda Blvd
Ste E
Northridge, CA 91324-5366
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Deluxe Health Care Services, IncCCN 553181
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 29, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

8817 Reseda Blvd
Ste E
Northridge, CA 91324
Phone (805) 864-9018

585 E Los Angeles Ave
Ste G
Simi Valley, CA 93065
Phone (805) 864-9018

Ownership & related parties

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.

NameRoleSinceShare
Artashes Manadjanyan Individual 5% Or Greater Direct Ownership InterestCeo Nov 28, 2018 100%
Corporate OfficerCeo, Chairman of Board Nov 28, 2018 100%
Corporate DirectorCeo Nov 28, 2018 100%
W-2 Managing EmployeeCeo Nov 28, 2018 100%
Operational/Managerial ControlCeo Nov 28, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1487036505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 E LOS ANGELES AVE SUITE G",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-864-9018",
            "fax_number": "805-864-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E LOS ANGELES AVE SUITE G",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-864-9018",
            "fax_number": "805-864-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "MAMADJANYAN",
        "authorized_official_first_name": "ARTASHES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-864-9018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.