Organization Active NPI

MRR Home Health Care, Inc.

  • Home Health Agency
  • La Crescenta, CA
National Provider Identifier
1619579125
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MRR HOME HEALTH CARE, INC.
Practice address
3959 Foothill Blvd Ste 210
La Crescenta, CA 91214-1663
Phone
(818) 310-3664
NPI assigned
Nov 10, 2020
Last updated
Nov 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Robert Mikayelian
Title
Ceo
Phone
(818) 310-3664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3959 Foothill Blvd Ste 210
La Crescenta, CA 91214-1663

Mailing address

3959 Foothill Blvd Ste 210
La Crescenta, CA 91214-1663
Phone (818) 310-3664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211020000386 CA Part A Provider - Home Health Agency 0244628527 Practice locations: La Crescenta, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619579125. Details of each certification follow.

Home health agency certification: CCN 559691

Legal name
MRR HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 14, 2021
Last certification
Dec 14, 2021
Organization structure
CorporationProprietary
Enrollment address
3959 Foothill Blvd
Ste 210
La Crescenta, CA 91214-1663
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
MRR Home Health Care, IncCCN 559691 · All quality measures
Ownership
-
Certified
Dec 14, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3959 Foothill Blvd
Ste 210
La Crescenta, CA 91214
Phone (747) 255-7050

Ownership & related parties

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.

NameRoleSinceShare
Robert Mikayelian Individual 5% Or Greater Direct Ownership InterestCeo Oct 6, 2020 100%
Corporate OfficerCeo Oct 6, 2020 100%
Corporate DirectorCeo Oct 6, 2020 100%
W-2 Managing EmployeeCeo Oct 6, 2020 100%

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1619579125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 FOOTHILL BLVD STE 210",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141663",
            "telephone_number": "818-310-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 FOOTHILL BLVD STE 210",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141663",
            "telephone_number": "818-310-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRR HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "MIKAYELIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-310-3664"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.