Organization Active NPI

United Care Home Healthcare Agency, Inc.

  • Home Health Agency
  • North Hills, CA
National Provider Identifier
1669522777
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000214 Issued in CA
Legal business name
UNITED CARE HOME HEALTHCARE AGENCY, INC.
Practice address
16921 Parthenia Street
Suite 303a
North Hills, CA 91343-4559
Phone
(818) 892-3040
Fax
(818) 892-3044
NPI assigned
Jan 11, 2007
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Mrs. Susanna Korchinskaya, REGISTERED NURSE
Title
Director of Nursing Patient Care SE
Phone
(818) 892-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000214 CA Primary

Addresses

Primary practice location

16921 Parthenia Street
Suite 303a
North Hills, CA 91343-4559

Mailing address

16921 Parthenia Street
Suite 303a
North Hills, CA 91343-4559
Phone (818) 892-3040

Other identifiers 2

IdentifierTypeStateIssuer
058375OtherCAMEDICARE PROVIDER NUMBER
550000214OtherCALICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030930000013 CA Part A Provider - Home Health Agency 7113839101 Practice locations: Northridge, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669522777. Details of each certification follow.

Home health agency certification: CCN 058375

Legal name
UNITED CARE HOME HEALTHCARE AGENCY, INC.
Doing business as
JN BILLING AND CONSULTANCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 30, 2007
Last certification
Feb 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 17, 2003 in CA
Enrollment address
16921 Parthenia St
Ste 303a
Northridge, CA 91343-4559
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
United Care Home Healthcare Agency, IncCCN 058375 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Mar 30, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1037402United Care Home Healthcare Agency Inc16921 Parthenia St Ste 303a, North Hills, CA 91343Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory

Locations

137 N Virgil Ave
#200
Los Angeles, CA 90004
Phone (213) 487-3188

16921 Parthenia St
Ste 303A
Northridge, CA 91343
Phone (818) 892-3040

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Victoria Borovsky Individual Contracted Managing EmployeeMD; Apr 15, 2012
Miriam Polonskiy Individual W-2 Managing EmployeeChief Operating Officer Oct 26, 2010
Susanna Korchinskaya Individual 5% Or Greater Direct Ownership InterestCeo, Administrator Jun 19, 2003 100%
Corporate Director Nov 13, 2003
W-2 Managing Employee Jun 19, 2003

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1669522777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16921 PARTHENIA STREET",
            "address_2": "SUITE 303A",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434559",
            "telephone_number": "818-892-3040",
            "fax_number": "818-892-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16921 PARTHENIA STREET",
            "address_2": "SUITE 303A",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434559",
            "telephone_number": "818-892-3040",
            "fax_number": "818-892-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CARE HOME HEALTHCARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "KORCHINSKAYA",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING PATIENT CARE SE",
        "authorized_official_telephone_number": "818-892-3010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "058375",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "550000214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

Verify at the official NPI Registry.