Exceed Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXCEED HOME HEALTH INC

Practice address

20121 Ventura Blvd Ste 316-317
Woodland Hills, CA 91364-2546

Phone

(818) 854-6365

Fax

(818) 979-9090

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. George Lutza

Title

Ceo

Phone

(818) 508-8385

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059156

Legal name

EXCEED HOME HEALTH, INC.

Doing business as

DYNAMIC HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 19, 2010

Last certification

Dec 14, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 7, 2007 in CA

Enrollment address

20121 Ventura Blvd
Ste 317
Woodland Hills, CA 91364-2559

Listed as

Dynamic Home HealthCCN 059156 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Mar 19, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boules Salib, MD, MPH

  • Internal Medicine Physician
  • Tarzana, CA
  • NPI 1437302692
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1508049297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20121 VENTURA BLVD STE 316-317",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642546",
            "telephone_number": "818-854-6365",
            "fax_number": "818-979-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20121 VENTURA BLVD STE 316-317",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642546",
            "telephone_number": "818-854-6365",
            "fax_number": "818-979-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEED HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2023-10-06",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "LUTZA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-508-8385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA09156",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 6, 2023; 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.