Organization Active NPI

Kind Home Health Care, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1710567573
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KIND HOME HEALTH CARE, INC.
Practice address
19634 Ventura Blvd Ste 222
Tarzana, CA 91356-2966
Phone
(747) 737-3125
Fax
(747) 737-3126
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Samvel Khachatryan
Title
Ceo
Phone
(747) 737-3125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

19634 Ventura Blvd Ste 222
Tarzana, CA 91356-2966

Mailing address

19634 Ventura Blvd Ste 222
Tarzana, CA 91356-2966
Phone (747) 737-3125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318001427 CA Part A Provider - Home Health Agency 9638556376 Practice locations: Tarzana, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710567573. Details of each certification follow.

Home health agency certification: CCN 757606

Legal name
KIND HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 20, 2023
Last certification
Jan 20, 2023
Organization structure
CorporationProprietary
Enrollment address
19634 Ventura Blvd
Ste 222
Tarzana, CA 91356-7145

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kind Home Health Care, Inc.CCN 757606 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Jan 20, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Samvel Khachatryan Individual 5% Or Greater Direct Ownership InterestCeo Mar 18, 2021 100%
Corporate OfficerCeo Mar 18, 2021 100%
Corporate DirectorCeo Mar 18, 2024 100%
W-2 Managing EmployeeCeo Mar 18, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1710567573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 222",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "747-737-3125",
            "fax_number": "747-737-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 222",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "747-737-3125",
            "fax_number": "747-737-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "SAMVEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-737-3125"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.