Organization Active NPI

Restart Home Health Care Inc

  • Home Health Agency
  • La Crescenta, CA
National Provider Identifier
1699419309
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RESTART HOME HEALTH CARE INC
Practice address
3959 Foothill Boulevard
Suite 305
La Crescenta, CA 91214
Phone
(818) 813-8342
Fax
(818) 691-7808
NPI assigned
Apr 27, 2022
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Mrs. Gayane Kocharyan
Title
Ceo
Phone
(818) 813-8342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3959 Foothill Boulevard
Suite 305
La Crescenta, CA 91214

Mailing address

3959 Foothill Boulevard
Suite 305
La Crescenta, CA 91214
Phone (818) 813-8342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510000443 CA Part A Provider - Home Health Agency 1850732629 Practice locations: La Crescenta, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699419309. Details of each certification follow.

Home health agency certification: CCN 757784

Legal name
RESTART HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 26, 2024
Last certification
Nov 13, 2024
Organization structure
CorporationProprietary
Enrollment address
3959 Foothill Blvd
Ste 305
La Crescenta, CA 91214-1664

Care Compare: Home health agency

Medicare Care Compare
Listed as
Restart Home Health Care IncCCN 757784 · All quality measures
Overall star rating
5 of 5
Ownership
-
Certified
Nov 26, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3959 Foothill Blvd
Ste 305
La Crescenta, CA 91214
Phone (818) 813-8342

14530 Hamlin St
Ste F
Van Nuys, CA 91411

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
Gayane Kocharyan Individual 5% Or Greater Direct Ownership Interest Apr 15, 2022 100%
Corporate OfficerChief Executive Officer Apr 15, 2022 100%
Corporate DirectorChief Executive Officer Apr 15, 2022 100%
W-2 Managing EmployeeChief Executive Officer Apr 15, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1699419309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 FOOTHILL BOULEVARD",
            "address_2": "SUITE 305",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "91214",
            "telephone_number": "818-813-8342",
            "fax_number": "818-691-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 FOOTHILL BOULEVARD",
            "address_2": "SUITE 305",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "91214",
            "telephone_number": "818-813-8342",
            "fax_number": "818-691-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTART HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "KOCHARYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-813-8342",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.