Open Arms Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000414 Issued in CA

Legal business name

OPEN ARMS HOME HEALTH CARE, INC.

Practice address

301 N. Prairie Ave.
Suite #320
Inglewood, CA 90301-4507

Phone

(310) 645-5450

Fax

(310) 645-5460

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Svetlana Chizhov, PH.D.

Title

Ceo

Phone

(310) 645-5450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059265

Legal name

OPEN ARMS HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 4, 2010

Last certification

Aug 7, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 11, 2003 in CA

Enrollment address

10117 Sepulveda Blvd
Suite 103
Mission Hills, CA 91345-2788

Listed as

Open Arms Home Health Care, IncCCN 059265

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Nov 4, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1720201189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N. PRAIRIE AVE.",
            "address_2": "SUITE 320",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014507",
            "telephone_number": "310-645-5450",
            "fax_number": "310-645-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N. PRAIRIE AVE.",
            "address_2": "SUITE #320",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014507",
            "telephone_number": "310-645-5450",
            "fax_number": "310-645-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "CHIZHOV",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-645-5450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Inglewood, CA
• Providers in Inglewood, 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 Sep 12, 2012; 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.