Centrum Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CENTRUM HOME HEALTH, INC.

Practice address

12501 Chandler Blvd Ste 202a
Valley Village, CA 91607-1941

Phone

(747) 377-1949

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Natali Sahakyan

Title

Ceo

Phone

(747) 377-1949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757398

Legal name

CENTRUM HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 1, 2023

Last certification

Sep 1, 2023

Organization structure

CorporationProprietary

Incorporated

Sep 25, 2021 in CA

Enrollment address

12722 Riverside Dr
Ste 209
Valley Village, CA 91607-3356

Listed as

Centrum Home Health, Inc.CCN 757398

Overall star rating

2.5 of 5

Ownership

-

Certified

Sep 1, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 4

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

• Farid Azizollahi, MD

  • Family Medicine Physician
  • Beverly Hills, CA
  • NPI 1649328519

  Home health agency

  Care Compare affiliation
• Terrill K. Haws, D.O.

  • General Practice Physician
  • Dana Point, CA
  • NPI 1275742223

  Home health agency

  Care Compare affiliation
• Manouchehr Rashti, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1679509871

  Home health agency

  Care Compare affiliation
• Reuven Fernandez Sison, M.D.

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1225143274

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1700548310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 202A",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071941",
            "telephone_number": "747-377-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 202A",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071941",
            "telephone_number": "747-377-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRUM HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "SAHAKYAN",
        "authorized_official_first_name": "NATALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-377-1949"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon RX Inc
• Chanelle Jali Cardona
• Nicholas James Cascone Jr., PA-C
• Janine Castagnetti
• Ashley Belen Castillo
• Isabelle Chandler, RBT, MA
• Sean Jason Chandler, LCSW
• Charles Young DDS Inc
• Jose Chavez, DNP RN ACCNS-AG CCRN
• Rachel Chen, L.AC.

• Home Health Agency in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.