Organization Active NPI

Direct Home Care

  • Home Health Agency
  • Lancaster, CA
National Provider Identifier
1689260028
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CareCCN 757282 · All quality measures
Overall star rating
4.5 of 5
Ownership
-
Certified
May 19, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Hovhanes Kartounian Individual 5% Or Greater Direct Ownership InterestCeo Sep 4, 2020 100%
Corporate OfficerCeo Sep 4, 2020 100%
Corporate DirectorCeo Sep 4, 2020 100%
Operational/Managerial ControlCeo Sep 4, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

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

Verify at the official NPI Registry.