Active NPI
Direct Home Care
- Home Health Agency
- Lancaster, CA
National Provider Identifier
1689260028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DIRECT HOME CARE
- Doing business as
- Direct Home Care
- Practice address
- 936 W Avenue J4 Ste 201
Lancaster, CA 93534-4246 - Phone
- (661) 255-5777
- Fax
- (661) 255-4443
- NPI assigned
- Dec 20, 2020
- Last updated
- Dec 20, 2020
- 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
- Hovhanes Kartounian
- Title
- Ceo
- Phone
- (661) 255-5777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
936 W Avenue J4 Ste 201
Lancaster, CA 93534-4246
Mailing address
936 W Avenue J4 Ste 201
Lancaster, CA 93534-4246
Phone (661) 255-5777
Other names 1
- Direct Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230223000137 | CA | Part A Provider - Home Health Agency | 8426421405 | Practice locations: Lancaster, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689260028. Details of each certification follow.
Home health agency certification: CCN 757282
- Legal name
- DIRECT HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 19, 2023
- Last certification
- Apr 26, 2023
- Organization structure
- Corporation
- Incorporated
- Sep 4, 2020 in CA
- Enrollment address
- 936 W Avenue J4
Ste 201
Lancaster, CA 93534-4246
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Direct Home Care
- Overall star rating
- Ownership
- -
- Certified
- May 19, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
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 |
|---|---|---|---|
| Hovhanes Kartounian | 5% Or Greater Direct Ownership Interest | Sep 4, 2020 | 100% |
| Corporate Officer | Sep 4, 2020 | 100% | |
| Corporate Director | Sep 4, 2020 | 100% | |
| Operational/Managerial Control | Sep 4, 2020 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1134394034
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608422400000",
"number": "1689260028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 W AVENUE J4 STE 201",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344246",
"telephone_number": "661-255-5777",
"fax_number": "661-255-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 W AVENUE J4 STE 201",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344246",
"telephone_number": "661-255-5777",
"fax_number": "661-255-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIRECT HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-20",
"last_updated": "2020-12-20",
"certification_date": "2020-12-20",
"status": "A",
"authorized_official_last_name": "KARTOUNIAN",
"authorized_official_first_name": "HOVHANES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "661-255-5777"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Direct Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.