Medplus Home Health,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDPLUS HOME HEALTH,INC.

Practice address

14664 Victory Blvd Ste 200
Van Nuys, CA 91411-1621

Phone

(818) 510-0226

Fax

(818) 790-2255

NPI assigned

May 30, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Gary Avanesov

Title

Ceo

Phone

(818) 510-0226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559382

Legal name

MEDPLUS HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 19, 2021

Last certification

Jan 19, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 6, 2019 in CA

Enrollment address

14664 Victory Blvd
Ste 200
Van Nuys, CA 91411-1621

Listed as

Medplus Home Health, IncCCN 559382

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jan 19, 2021

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 2

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

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1508424144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14664 VICTORY BLVD STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "818-510-0226",
            "fax_number": "818-790-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14664 VICTORY BLVD STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "818-510-0226",
            "fax_number": "818-790-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS HOME HEALTH,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "AVANESOV",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-510-0226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 30, 2019; 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.