Active NPI
Care Plus Home Health Inc.
- Community Based Hospice Care Agency
- La Crescenta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CARE PLUS HOME HEALTH INC.
- Practice address
- 3857 Foothill Blvd Ste 20
La Crescenta, CA 91214-1670 - Phone
- (818) 330-9802
- Fax
- (818) 356-7740
- NPI assigned
- Jan 25, 2019
- Last updated
- Jan 25, 2019
- 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
- Mrs. Liana Arsenovina Kirakosyan, LVN
- Title
- Ceo/Cfo/Secretary
- Phone
- (818) 330-9802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3857 Foothill Blvd Ste 20
La Crescenta, CA 91214-1670
Mailing address
3857 Foothill Blvd Ste 20
La Crescenta, CA 91214-1670
Phone (818) 330-9802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190520002574 | CA | Part A Provider - Home Health Agency | 6800139551 | Practice locations: La Crescenta, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1700340551. Details of each certification follow.
Home health agency certification: CCN 559437
- Legal name
- CARE PLUS HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 13, 2021
- Last certification
- May 13, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 3857 Foothill Blvd
Ste 20
La Crescenta, CA 91214-1670
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Care Plus Home Health, Inc.
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 13, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
3857 Foothill Blvd
Ste 20
La Crescenta, CA 91214
Phone (818) 330-9802
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Mo Raofi | 5% Or Greater Direct Ownership Interest | Aug 12, 2025 | 50% |
| Corporate Officer | Aug 12, 2025 | 50% | |
| Corporate Director | Aug 12, 2025 | 50% | |
| W-2 Managing Employee | Aug 12, 2025 | 50% | |
| Kirill Z Kvitko | 5% Or Greater Direct Ownership Interest | Aug 12, 2025 | 50% |
| Corporate Officer | Aug 12, 2025 | 50% | |
| Corporate Director | Aug 12, 2025 | 50% | |
| W-2 Managing Employee | Aug 12, 2025 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Dentist
- Sherman Oaks, CA
- NPI 1144662412
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Torrance, CA
- NPI 1639480247
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548374400000",
"number": "1700340551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3857 FOOTHILL BLVD STE 20",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912141670",
"telephone_number": "818-330-9802",
"fax_number": "818-356-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3857 FOOTHILL BLVD STE 20",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912141670",
"telephone_number": "818-330-9802",
"fax_number": "818-356-7740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE PLUS HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-25",
"last_updated": "2019-01-25",
"status": "A",
"authorized_official_last_name": "KIRAKOSYAN",
"authorized_official_first_name": "LIANA",
"authorized_official_middle_name": "ARSENOVINA",
"authorized_official_title_or_position": "CEO/CFO/SECRETARY",
"authorized_official_telephone_number": "818-330-9802",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.