Organization Active NPI

Cedar Care Home Health, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1548778764
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CEDAR CARE HOME HEALTH, INC.
Practice address
5530 Corbin Ave Ste 375
Tarzana, CA 91356-6041
Phone
(818) 380-2900
Fax
(818) 380-6900
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Mrs. Armindokht Setayesh Jamali
Title
President
Phone
(818) 380-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5530 Corbin Ave Ste 375
Tarzana, CA 91356-6041

Mailing address

5530 Corbin Ave Ste 375
Tarzana, CA 91356-6041
Phone (818) 380-2900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190129002861 CA Part A Provider - Home Health Agency 5597002584 Practice locations: Tarzana, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548778764. Details of each certification follow.

Home health agency certification: CCN 559781

Legal name
CEDAR CARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 19, 2022
Last certification
Jan 19, 2022
Organization structure
CorporationProprietary
Incorporated
Oct 27, 2017 in CA
Enrollment address
5530 Corbin Ave
Ste 375
Tarzana, CA 91356-6041

Care Compare: Home health agency

Medicare Care Compare
Listed as
Cedar Care Home Health, IncCCN 559781 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Jan 19, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

15124 Ventura Blvd
Ste 205
Sherman Oaks, CA 91403
Phone (818) 208-7766

5530 Corbin Ave
Ste 375
Tarzana, CA 91356
Phone (818) 380-2900

Ownership & related parties

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.

NameRoleSinceShare
Rahim Bidgoli Individual 5% Or Greater Direct Ownership Interest Oct 27, 2017 50%
Corporate OfficerSecretary and Treasurer of the B Oct 27, 2017 50%
Corporate DirectorSecretary and Treasurer of the B Oct 27, 2017 50%
W-2 Managing EmployeeSecretary and Treasurer of the B Oct 27, 2017 30%
Operational/Managerial ControlSecretary and Treasurer of the B Oct 27, 2017 30%
Rosita Ford Individual W-2 Managing EmployeeAdministrator, Director of Patie Jan 8, 2018 50%
Operational/Managerial ControlAdministrator, Director of Patie Jan 8, 2018 50%
Armindokht S Jamali Individual 5% Or Greater Direct Ownership Interest Oct 27, 2017 50%
Corporate OfficerPresident of the Board Oct 27, 2017 50%
Corporate DirectorPresident of the Board Oct 27, 2017 50%
Fay Asghari Individual W-2 Managing EmployeeNursing Supervisor, Administrato Jan 8, 2018 20%
Operational/Managerial ControlNursing Supervisor, Administrato Jan 8, 2018 20%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1548778764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 CORBIN AVE STE 375",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566041",
            "telephone_number": "818-380-2900",
            "fax_number": "818-380-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 CORBIN AVE STE 375",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566041",
            "telephone_number": "818-380-2900",
            "fax_number": "818-380-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "JAMALI",
        "authorized_official_first_name": "ARMINDOKHT",
        "authorized_official_middle_name": "SETAYESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-380-2900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.