Mag Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAG HOME HEALTH, INC.

Practice address

8522 Foothill Blvd Ste a
Sunland, CA 91040-1924

Phone

(747) 356-4255

Fax

(747) 356-4254

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Gor Nakhikyan

Title

Ceo

Phone

(747) 356-4255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757772

Legal name

MAG HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 4, 2024

Last certification

Aug 23, 2024

Organization structure

CorporationProprietary

Incorporated

Jul 26, 2021 in CA

Enrollment address

8522 Foothill Blvd
Ste a
Sunland, CA 91040-1924

Listed as

Mag Home Health, Inc.CCN 757772

Ownership

-

Certified

Sep 4, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1710639638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 FOOTHILL BLVD STE A",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401924",
            "telephone_number": "747-356-4255",
            "fax_number": "747-356-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 FOOTHILL BLVD STE A",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401924",
            "telephone_number": "747-356-4255",
            "fax_number": "747-356-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAG HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "NAKHIKYAN",
        "authorized_official_first_name": "GOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-356-4255"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.