Age With Care Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AGE WITH CARE HOME HEALTH, INC

Practice address

12501 Chandler Blvd Ste 101
Valley Village, CA 91607-1952

Phone

(818) 875-0708

Fax

(818) 279-2838

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By 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

Shavarsh Akarmazyan

Title

Ceo

Phone

(818) 875-0708

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 1689300139. Details of each certification follow.

• CCN 757674 Home health agency · Active · Details

Home health agency certification: CCN 757674

Legal name

AGE WITH CARE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 9, 2024

Last certification

Jul 9, 2024

Organization structure

CorporationProprietary

Incorporated

Jun 21, 2022 in CA

Enrollment address

12501 Chandler Blvd
Ste 101
Valley Village, CA 91607-1952

Listed as

Age With Care Home Health, IncCCN 757674 · All quality measures

Ownership

-

Certified

Jul 9, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1689300139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 101",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 101",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071952",
            "telephone_number": "818-875-0708",
            "fax_number": "818-279-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE WITH CARE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "AKARMAZYAN",
        "authorized_official_first_name": "SHAVARSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-875-0708"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Valley Village, CA
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• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.