Medlife Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDLIFE HOME CARE INC

Practice address

6412 Matilija Ave Ste 205
Van Nuys, CA 91401-1576

Phone

(818) 383-0073

NPI assigned

Feb 6, 2019

Last updated

Feb 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haroutin Nazarian

Title

Ceo

Phone

(818) 383-0073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679038392. Details of each certification follow.

• CCN 757299 Home health agency · Active · Details

Home health agency certification: CCN 757299

Legal name

MEDLIFE HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 13, 2023

Last certification

May 26, 2023

Organization structure

CorporationProprietary

Incorporated

Jan 11, 2019 in CA

Enrollment address

5739 Cahuenga Blvd
Unit C
North Hollywood, CA 91601

Listed as

Medlife Home Care IncCCN 757299 · All quality measures

Overall star rating

4 of 5

Ownership

-

Certified

Jun 13, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Art Nazarian

  • Driver
  • Van Nuys, CA
  • NPI 1174030480
  NPD

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1679038392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 MATILIJA AVE STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 MATILIJA AVE STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011576",
            "telephone_number": "818-383-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "NAZARIAN",
        "authorized_official_first_name": "HAROUTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-383-0073"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexia Johanna Medina
• Benjamin Medina
• Elenie Medina
• Jaylene Rae Medina
• Jennifer Medina
• Medlife Hospice, Inc.
• Medline Home Health Care,Inc.
• Medline Home Health, Inc.
• Medlink Mobile
• Medplus Home Health,Inc.

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Feb 6, 2019; 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.