Diversity Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVERSITY HOME HEALTH INC

Practice address

229 N Central Ave Ste 402
Glendale, CA 91203-3542

Phone

(818) 396-5296

NPI assigned

Oct 13, 2020

Organization subpart

No

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

Authorized official

Name

Vilen Mantskanyan

Title

Ceo

Phone

(818) 813-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757138

Legal name

DIVERSITY HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 31, 2023

Last certification

Jan 31, 2023

Organization structure

CorporationProprietary

Incorporated

Jun 16, 2020 in CA

Enrollment address

229 N Central Ave
Ste 402
Glendale, CA 91203-3542

Listed as

Diversity Home Health IncCCN 757138

Ownership

-

Certified

Jan 31, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jimmy Tam Huy Tam Huy Pham, D.O.

  • Nephrology Physician
  • Apple Valley, CA
  • NPI 1982087391

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1659979433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N CENTRAL AVE STE 402",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033542",
            "telephone_number": "818-396-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N CENTRAL AVE STE 402",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033542",
            "telephone_number": "818-396-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "MANTSKANYAN",
        "authorized_official_first_name": "VILEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-813-3600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4603512",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "address",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "229 N Central Ave Ste 402",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912033542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Lusine Dishigrikyan, PHARMD.
• Distinguished Care Home Health, Inc.
• Farrah Cano Ditchon, RPT
• Trine Lise Ditlefsen, PPS SCHOOLPSYCHOLOGY
• Divine Angelic Hospice Care Inc
• Divine Care LM Hospice
• Divine Choice Home Health, Inc.
• Divine Choice Hospice, Inc.
• Divine Grace Home Health Inc

• Home Health Agency in Glendale, CA
• Providers in Glendale, 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 Oct 13, 2020; 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.