Four Seasons Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FOUR SEASONS HEALTH

Practice address

11755 Victory Blvd Ste 205a
N Hollywood, CA 91606-3423

Phone

(818) 855-9515

Fax

(818) 855-9525

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Zaven Eduard Egian

Title

Ceo

Phone

(818) 855-9515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757769

Legal name

FOUR SEASONS HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 27, 2024

Last certification

Sep 13, 2024

Organization structure

CorporationProprietary

Enrollment address

11755 Victory Blvd
Ste 205a
N Hollywood, CA 91606-3423

Listed as

Four Seasons HealthCCN 757769

Overall star rating

4 of 5

Ownership

-

Certified

Sep 27, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 3

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

• Tarek Ezzeddine, MD

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1740471879

  Home health agency

  Care Compare affiliation
• Henry Chih-Yang Hung, M.D.

  • Internal Medicine Physician
  • Covina, CA
  • NPI 1730593682

  Home health agency

  Care Compare affiliation
• Jack Shenouda, M.D.

  • Hospitalist Physician
  • Oxnard, CA
  • NPI 1023247822

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1487300778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 205A",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "818-855-9515",
            "fax_number": "818-855-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 205A",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "818-855-9515",
            "fax_number": "818-855-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "EGIAN",
        "authorized_official_first_name": "ZAVEN",
        "authorized_official_middle_name": "EDUARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-855-9515"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. a. Leonov DDS, a Professional Dental Corporation
• Fast Care Home Health Inc.
• Fidelia Home Health Services, Inc.
• First Choice Pharmacy and Supply
• Foot Pain Management Inc a Professional Corporation
• Kari French, MA, SLP-CCC
• Laurie Lynne Garza, LPT
• Gateway la Inc
• Allan Gerson, PH.D.
• Gold Star Community Health Center, Inc.

• All providers in N Hollywood, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.