Healthy Ca Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHY CA HOME HEALTH

Practice address

14545 Friar St Ste 356
Van Nuys, CA 91411-2397

Phone

(800) 610-2048

NPI assigned

Apr 1, 2021

Organization subpart

Yes

Parent organization

FSH MANAGEMENT, INC.As reported in NPPES

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

Authorized official

Name

Tatevik Mirzoyan

Title

Ceo

Phone

(800) 610-2048

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757136

Legal name

HEALTHY CA HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 28, 2022

Last certification

Sep 28, 2022

Organization structure

CorporationProprietary

Incorporated

Mar 8, 2021 in CA

Enrollment address

300 N 3Rd St
Ste 308
Burbank, CA 91502-1107

Listed as

Healthy Ca Home HealthCCN 757136

Overall star rating

3.5 of 5

Ownership

-

Certified

Sep 28, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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.

Affiliated clinicians 4

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

• Sarah Gravitz Apollo, DO

  • Internal Medicine Physician
  • Placentia, CA
  • NPI 1730114372

  Home health agency

  Care Compare affiliation
• Michael Arnstein, M.D.

  • Specialist
  • Torrance, CA
  • NPI 1821000100

  Home health agency

  Care Compare affiliation
• Linda B. Enriquez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Bernardino, CA
  • NPI 1669541041

  Home health agency

  Care Compare affiliation
• Alec Freling, MD

  • Emergency Medicine Physician
  • West Hills, CA
  • NPI 1659877454

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1679151344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 356",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "800-610-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 356",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "800-610-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CA HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FSH MANAGEMENT, INC.",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "MIRZOYAN",
        "authorized_official_first_name": "TATEVIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-610-2048"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 1, 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.