Organization Active NPI

Absolute Comfort Home Healthcare, Inc.

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1720588288
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABSOLUTE COMFORT HOME HEALTHCARE, INC.
Practice address
5924 E Los Angeles Ave Ste J
Simi Valley, CA 93063-5526
Phone
(818) 267-7267
NPI assigned
Feb 20, 2018
Last updated
Feb 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Meruzhan Mike Avetisyan
Title
Ceo
Phone
(818) 267-7267

Specialties & licenses 1

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

Addresses

Primary practice location

5924 E Los Angeles Ave Ste J
Simi Valley, CA 93063-5526

Mailing address

5924 E Los Angeles Ave Ste J
Simi Valley, CA 93063-5526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230320000853 CA Part A Provider - Home Health Agency 6709260573 Practice locations: Simi Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720588288. Details of each certification follow.

Home health agency certification: CCN 757401

Legal name
ABSOLUTE COMFORT HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 17, 2023
Last certification
Sep 8, 2023
Organization structure
CorporationProprietary
Incorporated
Jan 26, 2018 in CA
Enrollment address
5924 E Los Angeles Ave
Ste J
Simi Valley, CA 93063-5526

Care Compare: Home health agency

Medicare Care Compare
Listed as
Absolute Comfort Home Healthcare, IncCCN 757401 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Sep 17, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2319123Absolute Comfort Home Healthcare, Inc5924 E Los Angeles, Simi Valley, CA 93063Certificate of waiverFeb 23, 2027

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
Meruzhan Avetisyan Individual 5% Or Greater Direct Ownership InterestCeo Jan 26, 2018 100%
Corporate OfficerCeo Jan 26, 2018 100%
Corporate DirectorCeo Jan 26, 2018 100%
W-2 Managing EmployeeCeo Jan 26, 2018 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": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1720588288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES AVE STE J",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES AVE STE J",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635526",
            "telephone_number": "818-267-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE COMFORT HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "MERUZHAN",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-267-7267"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.