Internal Life Home Health, Inc

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

INTERNAL LIFE HOME HEALTH, INC

Practice address

7590 N Glenoaks Blvd Ste 20
Burbank, CA 91504-1003

Phone

(818) 306-3005

Fax

(818) 306-3007

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By 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

Robert Khnkoyan

Title

Ceo

Phone

(818) 306-3005

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 1689349110. Details of each certification follow.

• CCN 757518 Home health agency · Active · Details

Home health agency certification: CCN 757518

Legal name

INTERNAL LIFE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 30, 2023

Last certification

Nov 30, 2023

Organization structure

CorporationProprietary

Incorporated

May 14, 2020 in CA

Enrollment address

7590 N Glenoaks Blvd
Ste 20
Burbank, CA 91504-1003

Listed as

Internal Life Home Health, Inc.CCN 757518 · All quality measures

Overall star rating

1.5 of 5

Ownership

-

Certified

Nov 30, 2023

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.

Affiliated clinicians 2

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

• Cameo D Cozart-Chance, M.D.

  • Emergency Medicine Physician
  • West Hills, CA
  • NPI 1619903135

  Home health agency

  Care Compare affiliation
• Benjamin John Shannon-Alferes, DO

  • Emergency Medicine Physician
  • West Hills, CA
  • NPI 1487146593

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1689349110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 N GLENOAKS BLVD STE 20",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041003",
            "telephone_number": "818-306-3005",
            "fax_number": "818-306-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 N GLENOAKS BLVD STE 20",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041003",
            "telephone_number": "818-306-3005",
            "fax_number": "818-306-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL LIFE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "KHNKOYAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-306-3005"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Burbank, CA
• Providers in Burbank, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.