Fidelis Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIDELIS HOME HEALTH CARE

Practice address

358 E Olive Ave Unit 101
Burbank, CA 91502-1215

Phone

(747) 265-0668

NPI assigned

Jun 6, 2019

Last updated

Jun 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Artak Khachikyan

Title

Ceo/President

Phone

(747) 265-0668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720647498. Details of each certification follow.

• CCN 559387 Home health agency · Active · Details

Home health agency certification: CCN 559387

Legal name

FIDELIS HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 11, 2020

Last certification

Sep 11, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

358 E Olive Ave
Unit 101
Burbank, CA 91502-1215

Listed as

Fidelis Home Health CareCCN 559387 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Sep 11, 2020

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 2

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

Affiliated clinicians 2

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

• Armen Hovhannisyan, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1740488998

  Home health agency

  Care Compare affiliation
• Christine Lori Rongey, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Livermore, CA
  • NPI 1033403647

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1720647498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E OLIVE AVE UNIT 101",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E OLIVE AVE UNIT 101",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021215",
            "telephone_number": "747-265-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELIS HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "KHACHIKYAN",
        "authorized_official_first_name": "ARTAK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "747-265-0668"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vanessa Ferrucci, O.D.
• FGB, Inc.
• FHL Home Care, Inc.
• Carole H. Field, M.F.T
• Natalie Priscilla Field, M.F.T.
• Daisy Figueroa
• Karina Figueroa
• First Aid Home Health Care Inc

• Home Health Agency in Burbank, CA
• Providers in Burbank, 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 Jun 6, 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.