Optimum Ma Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTIMUM MA HOME HEALTH CARE, INC

Practice address

5658 Sepulveda Blvd Ste 208
Van Nuys, CA 91411-2927

Phone

(818) 290-3331

NPI assigned

Nov 6, 2017

Organization subpart

No

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

Authorized official

Name

Artur Sarsgyan

Title

Ceo

Phone

(818) 290-3331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 553189

Legal name

OPTIMUM MA HOME HEALTH CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 10, 2019

Last certification

Mar 10, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 8, 2017 in CA

Enrollment address

5658 Sepulveda Blvd
Ste 208
Van Nuys, CA 91411-2927

Listed as

Optimum Ma Home Health Care, IncCCN 553189 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Mar 10, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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.

Affiliated clinicians 2

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

• Neeraj M Patel, M.D.

  • Internal Medicine Physician
  • Granada Hills, CA
  • NPI 1679830756

  Home health agency

  Care Compare affiliation
• Gihan S Abdel-Samed, MD

  • Emergency Medicine Physician
  • Milton, GA
  • NPI 1306884754

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1508379181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 SEPULVEDA BLVD STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 SEPULVEDA BLVD STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112927",
            "telephone_number": "818-290-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MA HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "SARSGYAN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-290-3331"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brenda Ordaz
• Irma Leticia Ordonez
• Maiya Ordonez

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Nov 6, 2017; 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.