La Casa Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LA CASA HEALTH SERVICES, INC.

Practice address

18321 Ventura Blvd Ste 777
Tarzana, CA 91356-4228

Phone

(818) 900-2326

Fax

(818) 900-2342

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Tigran Mkrtchyan, RN

Title

Director of Patient Care Services

Phone

(818) 900-2326

Specialties & licenses 1

Addresses

Other names 1

• La Casa Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559404

Legal name

LA CASA HEALTH SERVICES INC

Doing business as

LA CASA HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 24, 2020

Last certification

Dec 24, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 25, 2019 in CA

Enrollment address

18321 Ventura Blvd.
Suite 777
Tarzana, CA 91356-4261
HHA Branch

Listed as

La Casa Health Services IncCCN 559404

Ownership

Proprietary

Certified

Dec 24, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1669930533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18321 VENTURA BLVD STE 777",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564228",
            "telephone_number": "818-900-2326",
            "fax_number": "818-900-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 VENTURA BLVD STE 777",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564228",
            "telephone_number": "818-900-2326",
            "fax_number": "818-900-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CASA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "MKRTCHYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE SERVICES",
        "authorized_official_telephone_number": "818-900-2326",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Casa Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Casa Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen L Kushell, MA, AMFT, APCC
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• Nardeen Nader Labib

• Home Health Agency in Tarzana, CA
• Providers in Tarzana, 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 Jun 4, 2021; 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.