Spirit Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SPIRIT HOME HEALTH

Practice address

425 S Fairfax Ave Ste 206
Los Angeles, CA 90036-3148

Phone

(323) 819-8648

NPI assigned

Jul 29, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Archil Bidzhoian

Title

Ceo

Phone

(323) 819-8648

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757492

Legal name

SPIRIT HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 24, 2023

Last certification

Oct 24, 2023

Organization structure

CorporationProprietary

Incorporated

Jun 27, 2021 in CA

Enrollment address

425 S Fairfax Ave
Ste 206
Los Angeles, CA 90036-3148

Listed as

Spirit Home HealthCCN 757492

Ownership

-

Certified

Oct 24, 2023

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 1

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

• Hung Nguyen, M.D.

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1538181763

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1487327052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S FAIRFAX AVE STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S FAIRFAX AVE STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363148",
            "telephone_number": "323-819-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "BIDZHOIAN",
        "authorized_official_first_name": "ARCHIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-819-8648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Spinks
• Brian Lamar Spinks
• Patrice K. Spinner, PH.D.
• Chasya Spira
• Spirit Gate Wellness
• Spirit of Health Inc.
• Spirit Psychotherapy Inc.
• Spiritual Home Health, Inc.
• Spiritual Hospice Care, Inc.
• Spiritus Therapy, a Licensed Clinical Social Work Professional Corporation

• 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 29, 2021; 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.