Braewood Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BRAEWOOD HOME HEALTH, INC.

Practice address

8215 Van Nuys Blvd Ste 300-301
Panorama City, CA 91402

Phone

(818) 641-1444

Fax

(818) 641-1444

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Ray Arcilla Panis

Title

Cfo

Phone

(818) 641-1444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058391

Legal name

BRAEWOOD HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 20, 2007

Last certification

Mar 7, 2016

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 26, 2001 in CA

Enrollment address

8215 Van Nuys Blvd
Ste 300-301
Panorama City, CA 91402-4810
HHA Branch

Listed as

Braewood Home Health IncCCN 058391

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Sep 20, 2007

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 1

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.

• Robert E Ladines, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1033219084
  NPD (past)

Affiliated clinicians 4

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

• Arsineh Almasi, FNP

  • Family Nurse Practitioner
  • Sherman Oaks, CA
  • NPI 1376856203

  Home health agency

  Care Compare affiliation
• Erlinda Dy Grey, M.D.

  • Ph.D. Medical Genetics
  • Panorama City, CA
  • NPI 1356568752

  Home health agency

  Care Compare affiliation
• Jay Kahng, M.D.

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1477752038

  Home health agency

  Care Compare affiliation
• Jed Padre, MD

  • Family Medicine Physician
  • Carson, CA
  • NPI 1285169110

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1508072034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD STE 300-301",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024810",
            "telephone_number": "818-641-1444",
            "fax_number": "818-641-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD STE 300-301",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-641-1444",
            "fax_number": "818-641-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3875 Telegraph Rd",
            "address_2": "SUITE J",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033419",
            "country_code": "US",
            "telephone_number": "805-794-9640",
            "fax_number": "805-658-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAEWOOD HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "PANIS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "ARCILLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-641-1444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M Bosley, M.D.
• Virginia Bowhser
• Shovek Boyadjian X
• Joy Boyajian, NP
• Breeanna Boyd
• Steve Maurice Braham, RCP/RRT
• Kaevon Dorian Brasfield, MD
• David Braun, MD
• Richard John Brehme Jr., LVN
• Brennan Hughes D.M.D Apc

• Home Health Agency in Panorama City, CA
• Providers in Panorama City, 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 Apr 6, 2022; 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.