Active NPI
Healthelect Care, Inc.
- Home Health Agency
- North Hollywood, CA
National Provider Identifier
1629510409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEALTHELECT CARE, INC.
- Practice address
- 10523 Burbank Blvd
Suite 122
North Hollywood, CA 91601-2233 - Phone
- (818) 370-4004
- Fax
- (818) 301-0311
- NPI assigned
- Nov 10, 2016
- 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
- Naira Gyandzhyan, LVN
- Title
- Ceo
- Phone
- (818) 302-0056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10523 Burbank Blvd
Suite 122
North Hollywood, CA 91601-2233
Mailing address
10523 Burbank Blvd
Suite 122
North Hollywood, CA 91601-2233
Phone (818) 302-0056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181010000386 | CA | Part A Provider - Home Health Agency | 1254683865 | Practice locations: Van Nuys, CA |
Home health agency certification: CCN 559130
- Legal name
- HEALTHELECT CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 8, 2019
- Last certification
- Oct 8, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 14, 2016 in CA
- Enrollment address
- 6742 Van Nuys Blvd
Ste 210
Van Nuys, CA 91405-4611
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Healthelect Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 8, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
10523 Burbank Blvd
Ste 122
North Hollywood, CA 91601
Phone (818) 927-4047
6742 Van Nuys Blvd
Ste 210
Van Nuys, CA 91405
Phone (818) 387-8393
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gevork Khrimian | 5% Or Greater Direct Ownership Interest | Nov 14, 2016 | 100% |
| Corporate Officer | Nov 14, 2016 | 100% | |
| Corporate Director | Nov 14, 2016 | 100% | |
| W-2 Managing Employee | Nov 14, 2016 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485129600000",
"number": "1629510409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10523 BURBANK BLVD",
"address_2": "SUITE 122",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012233",
"telephone_number": "818-302-0056",
"fax_number": "818-301-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10523 BURBANK BLVD",
"address_2": "SUITE 122",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012233",
"telephone_number": "818-370-4004",
"fax_number": "818-301-0311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHELECT CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-10",
"last_updated": "2017-01-23",
"status": "A",
"authorized_official_last_name": "GYANDZHYAN",
"authorized_official_first_name": "NAIRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-302-0056",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
- Health Force One - Nursing PC
- Health Guard Adult Day Health Care
- Health Guard Imaging Inc
- Health Journey Home Health Agency, Inc
- Health Link Diagnostic Inc
- Healthiness Home Care
- Healthy Feet Diabetic Shoes, Inc.
- Healthy Life Hospice Inc
- Healthy Life Medical Care Inc
- Healthy Way Home Health Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.