Olympus Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OLYMPUS HOME HEALTH INC.

Practice address

2222 W Burbank Blvd Unit 202
Burbank, CA 91506-1280

Phone

(747) 283-0111

NPI assigned

Jun 30, 2019

Last updated

Jun 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashot Danielyan

Title

Ceo

Phone

(747) 283-0111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619539665. Details of each certification follow.

• CCN 559275 Home health agency · Active · Details

Home health agency certification: CCN 559275

Legal name

OLYMPUS HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 9, 2020

Last certification

Jun 9, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 11, 2019 in CA

Enrollment address

2222 W Burbank Blvd
Suite 202
Burbank, CA 91506-1280

Listed as

Olympus Home Health IncCCN 559275 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jun 9, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Mohamed Fekry Al-Sadek, M.D.

  • Internal Medicine Physician
  • Tustin, CA
  • NPI 1154353829

  Home health agency

  Care Compare affiliation
• Feliciano Antonio Serrano II, M.D.

  • Specialist
  • Huntington Park, CA
  • NPI 1649225558

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561852800000",
    "number": "1619539665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W BURBANK BLVD UNIT 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W BURBANK BLVD UNIT 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061280",
            "telephone_number": "747-283-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-30",
        "last_updated": "2019-06-30",
        "status": "A",
        "authorized_official_last_name": "DANIELYAN",
        "authorized_official_first_name": "ASHOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-283-0111"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Burbank, CA
• Providers in Burbank, 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 Jun 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.