Organization Active NPI

Care Plus Home Health Inc.

  • Community Based Hospice Care Agency
  • La Crescenta, CA
National Provider Identifier
1700340551
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 559437 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
May 13, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mo Raofi Individual 5% Or Greater Direct Ownership InterestCeo Aug 12, 2025 50%
Corporate OfficerCeo Aug 12, 2025 50%
Corporate DirectorCeo Aug 12, 2025 50%
W-2 Managing EmployeeCeo Aug 12, 2025 50%
Kirill Z Kvitko Individual 5% Or Greater Direct Ownership InterestCfo Aug 12, 2025 50%
Corporate OfficerCfo Aug 12, 2025 50%
Corporate DirectorCfo Aug 12, 2025 50%
W-2 Managing EmployeeCfo 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.

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": "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

Verify at the official NPI Registry.