Active NPI
United Care Home Healthcare Agency, Inc.
- Home Health Agency
- North Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000214
- 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, 2011
- 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
- Mrs. Susanna Korchinskaya, REGISTERED NURSE
- Title
- Director of Nursing Patient Care SE
- Phone
- (818) 892-3010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058375 | Other | CA | MEDICARE PROVIDER NUMBER |
| 550000214 | Other | CA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Jul 17, 2003 in CA
- Enrollment address
- 16921 Parthenia St
Ste 303a
Northridge, CA 91343-4559
Care Compare: Home health agency
Medicare Care Compare- Listed as
- United Care Home Healthcare Agency, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 30, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1037402 | United Care Home Healthcare Agency Inc | Certificate of waiver | Feb 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Victoria Borovsky | Contracted Managing Employee | Apr 15, 2012 | |
| Miriam Polonskiy | W-2 Managing Employee | Oct 26, 2010 | |
| Susanna Korchinskaya | 5% Or Greater Direct Ownership Interest | 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.
-
- Internal Medicine Physician
- Encino, CA
- NPI 1932130481
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- West Hollywood, CA
- NPI 1871594648
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.