NPIMap

Organization Active NPI

Mother Theresa's Home Health Care Services Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1497776058
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOTHER THERESA'S HOME HEALTH CARE SERVICES INC.
Practice address
847 N Hollywood Way
#203
Burbank, CA 91505-2843
Phone
(818) 505-9099
Fax
(818) 505-9554
NPI assigned
Jul 21, 2006
Last updated
Sep 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Authorized official

Name
Kristina Kasabyan
Title
Administrator President
Phone
(818) 505-9099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

847 N Hollywood Way
#203
Burbank, CA 91505-2843

Mailing address

847 N Hollywood Way
#203
Burbank, CA 91505-2843
Phone (818) 505-9099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030325000016 CA Part A Provider - Home Health Agency 0042128712 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497776058. Details of each certification follow.

Home health agency certification: CCN 058224

Legal name
MOTHER THERESAS HOME HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 17, 2003
Last certification
Aug 31, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 10, 2002 in CA
Enrollment address
847 N Hollywood Way
Ste 203
Burbank, CA 91505-2844

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mother Theresa's Home Health ServicesCCN 058224 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Nov 17, 2003
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

4500 Forman Ave
#2
Toluca Lake, CA 91602
Phone (818) 505-9099

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Mother Theresas Home Health Care Services Inc Organization, Burbank, CA Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 10, 2002 95%
5% Or Greater Indirect Ownership Interest Oct 10, 2002 95%
5% Or Greater Mortgage Interest Oct 10, 2002 95%
5% Or Greater Security Interest Oct 10, 2002 95%
General Partnership Interest Oct 10, 2002 95%
Limited Partnership Interest Oct 10, 2002 95%
Operational/Managerial Control Oct 10, 2002 95%
Other Oct 10, 2002 95%
Juvy J Lahom Individual W-2 Managing Employee Nov 27, 2006
Douglas a Webber Individual Contracted Managing Employee Oct 1, 2004
Kristina Kasabyan Individual 5% Or Greater Direct Ownership InterestCeo Oct 9, 2002 100%
Corporate Director Mar 27, 2003
W-2 Managing Employee Oct 9, 2002

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1497776058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 N HOLLYWOOD WAY",
            "address_2": "#203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052843",
            "telephone_number": "818-505-9099",
            "fax_number": "818-505-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 N HOLLYWOOD WAY",
            "address_2": "#203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052843",
            "telephone_number": "818-505-9099",
            "fax_number": "818-505-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER THERESA'S HOME HEALTH CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "KASABYAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR PRESIDENT",
        "authorized_official_telephone_number": "818-505-9099"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.