White Glove Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WHITE GLOVE HOME HEALTH INC

Practice address

15643 Sherman Way Ste 420
Van Nuys, CA 91406-4183

Phone

(818) 650-8206

NPI assigned

Mar 22, 2019

Organization subpart

No

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

Authorized official

Name

Petros Terteryan

Title

Ceo

Phone

(818) 650-8206

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559335

Legal name

WHITE GLOVE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 16, 2020

Last certification

Sep 16, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 30, 2018 in CA

Enrollment address

15643 Sherman Way
Ste 420
Van Nuys, CA 91406-4183
HHA Branch

Listed as

White Glove Home Health, IncCCN 559335 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Sep 16, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Affiliated clinicians 4

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

• Vincent Anthony Covelli, D.O.

  • Infectious Disease Physician
  • Victorville, CA
  • NPI 1528354347

  Home health agency

  Care Compare affiliation
• Deven Khosla, M.D.

  • Neurological Surgery Physician
  • Santa Monica, CA
  • NPI 1013962885

  Home health agency

  Care Compare affiliation
• Sanjay Kumar Khurana, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Marina del Rey, CA
  • NPI 1831145937

  Home health agency

  Care Compare affiliation
• Daniel Nagasawa, MD

  • Neurological Surgery Physician
  • Santa Monica, CA
  • NPI 1578820536

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1710447180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY STE 420",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY STE 420",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064183",
            "telephone_number": "818-650-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE GLOVE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "TERTERYAN",
        "authorized_official_first_name": "PETROS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-650-8206"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imani Wheeler
• Michael George Wheeler, D.P.M.
• Patricia A. Wheeler
• Christina S. Wherry
• White Angels Hospice Inc
• White Guardian Home Health Care Inc
• White Oak Recovery Center LLC
• White Oak Recovery Center Outpatient LLC
• Demetra White
• Fawntelle White

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Mar 22, 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.

Verify at the official NPI Registry.