Organization Active NPI

Key to Health Homecare, Inc.

  • Home Health Agency
  • Panorama City, CA
National Provider Identifier
1548703291
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KEY TO HEALTH HOMECARE, INC.
Practice address
9608 Van Nuys Blvd Ste 202
Panorama City, CA 91402-1043
Phone
(323) 844-2060
Fax
(323) 794-2070
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Alvard Avagyan
Title
Ceo
Phone
(323) 844-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9608 Van Nuys Blvd Ste 202
Panorama City, CA 91402-1043

Mailing address

9608 Van Nuys Blvd Ste 202
Panorama City, CA 91402-1043
Phone (323) 844-2060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170309001810 CA Part A Provider - Home Health Agency 7517241698 Practice locations: Glendale, CA

Home health agency certification: CCN 053164

Legal name
KEY TO HEALTH HOMECARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 6, 2018
Last certification
Mar 6, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 27, 2016 in CA
Enrollment address
664 W Broadway
Ste G
Glendale, CA 91204-1097

Care Compare: Home health agency

Medicare Care Compare
Listed as
Key to Health Homecare, IncCCN 053164 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Mar 6, 2018
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

664 W Broadway
Ste G
Glendale, CA 91204
Phone (323) 844-2060

7141 Valjean Ave
Ste 200B
Van Nuys, CA 91406
Phone (323) 844-2060

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jasmin V Garcia Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Corporate OfficerCeo,Cfo,Secretary Sep 1, 2021 100%
Corporate DirectorCeo,Cfo.Secretary Sep 1, 2021 100%
W-2 Managing EmployeeCeo,Cfo.Secretary Sep 1, 2021 100%
Top Care Solutions Inc Organization, Glendale, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Sep 1, 2021 100%
John Junnel a Carolino Individual Operational/Managerial ControlAdministrator/DPCS Sep 1, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1548703291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 VAN NUYS BLVD STE 202",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021043",
            "telephone_number": "323-844-2060",
            "fax_number": "323-794-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 VAN NUYS BLVD STE 202",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021043",
            "telephone_number": "323-844-2060",
            "fax_number": "323-794-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY TO HEALTH HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "AVAGYAN",
        "authorized_official_first_name": "ALVARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-844-2060"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.