Organization Active NPI

Honest Home Health Care Services Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1700490786
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HONEST HOME HEALTH CARE SERVICES INC
Practice address
4221 Wilshire Blvd Ste 170-16
Los Angeles, CA 90010-3519
Phone
(818) 646-7203
Fax
(323) 925-1391
NPI assigned
Sep 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Andrew Soo Lee
Title
Administrator
Phone
(213) 500-8031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4221 Wilshire Blvd Ste 170-16
Los Angeles, CA 90010-3519

Mailing address

14044 Ventura Blvd Ste 307
Sherman Oaks, CA 91423-5238
Phone (818) 646-7203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200924003296 CA Part A Provider - Home Health Agency 3971922931 Practice locations: Los Angeles, CA
O20240911002450 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971922931 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

Home health agency certification: CCN 559786

Legal name
HONEST HOME HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 26, 2022
Last certification
Jan 26, 2022
Organization structure
CorporationProprietary
Incorporated
Aug 31, 2020 in CA
Enrollment address
4221 Wilshire Blvd
Ste 170-16
Los Angeles, CA 90010-3519

Care Compare: Home health agency

Medicare Care Compare
Listed as
Honest Home Health Care Services IncCCN 559786 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Jan 26, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2302366Honest Home Health Care Services, Inc4221 Wilshire Blvd Suite 170-16, Los Angeles, CA 90010Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory

Locations

14044 Ventura Blvd
Ste 307
Sherman Oaks, CA 91423
Phone (800) 313-8393

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Arsen Duryan Individual 5% Or Greater Direct Ownership InterestBoard Member/25.5 Owner Jul 22, 2022 25.5%
Corporate OfficerBoard Member/25.5 Owner Jul 22, 2022 25.5%
Corporate DirectorBoard Member/25.5 Owner Jul 22, 2022 25.5%
W-2 Managing EmployeeBoard Member/25.5 Owner Jul 22, 2022 25.5%
Margarita Serobyan Individual 5% Or Greater Direct Ownership Interest Jul 22, 2022 25.5%
Corporate OfficerBoard Member/25.5 Owner Jul 22, 2022 25.5%
Corporate DirectorBoard Member/25.5 Owner Jul 22, 2022 25.5%
W-2 Managing EmployeeBoard Member/25.5 Owner Jul 22, 2022 25.5%
Andrew S Lee Individual 5% Or Greater Direct Ownership Interest Jul 22, 2022 49%
Corporate OfficerCeo/President/Cfo/Secretary,Boar Jul 22, 2022 49%
Corporate DirectorCeo/President/Cfo/Secretary,Boar Jul 22, 2022 49%
W-2 Managing EmployeeCeo/President/Cfo/Secretary,Boar Jul 22, 2022 49%
Jun Young Kim Individual Corporate OfficerAdministrator Jan 23, 2026
W-2 Managing EmployeeAd; Jan 23, 2026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1700490786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 VENTURA BLVD STE 307",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235238",
            "telephone_number": "818-646-7203",
            "fax_number": "323-925-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 170-16",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103519",
            "telephone_number": "818-646-7203",
            "fax_number": "323-925-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEST HOME HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-500-8031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.