Active NPI
Cedar Care Home Health, Inc.
- Home Health Agency
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- -
- Certified
- Jan 19, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rahim Bidgoli | 5% Or Greater Direct Ownership Interest | Oct 27, 2017 | 50% |
| Corporate Officer | Oct 27, 2017 | 50% | |
| Corporate Director | Oct 27, 2017 | 50% | |
| W-2 Managing Employee | Oct 27, 2017 | 30% | |
| Operational/Managerial Control | Oct 27, 2017 | 30% | |
| Rosita Ford | W-2 Managing Employee | Jan 8, 2018 | 50% |
| Operational/Managerial Control | Jan 8, 2018 | 50% | |
| Armindokht S Jamali | 5% Or Greater Direct Ownership Interest | Oct 27, 2017 | 50% |
| Corporate Officer | Oct 27, 2017 | 50% | |
| Corporate Director | Oct 27, 2017 | 50% | |
| Fay Asghari | W-2 Managing Employee | Jan 8, 2018 | 20% |
| Operational/Managerial Control | Jan 8, 2018 | 20% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1326080128
Home health agency
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
- Eric Castro
- Klarissa Mae Castro
- Maria Carmen Castro
- Danny Catalan
- Sydney L Catran-Whitney
- Cedars Primary Care Apmc
- Cedars-Sinai Imaging Medical Group a Professional Corporation
- Cedars-Sinai Medical Care Foundation
- Celebrated Consulting Inc (West Valley Detox Treatment)
- Center for Advanced Vascular Interventions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.