Ca Choice Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CA CHOICE HOME HEALTH CARE

Practice address

19737 Ventura Blvd Ste 300a
Woodland Hills, CA 91364-2605

Phone

(747) 302-2001

NPI assigned

Apr 30, 2021

Last updated

May 3, 2021By 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

Hakob G Shirakyan

Title

Ceo

Phone

(747) 302-2001

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 1730762337. Details of each certification follow.

• CCN 757295 Home health agency · Active · Details

Home health agency certification: CCN 757295

Legal name

CA CHOICE HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 29, 2023

Last certification

Mar 22, 2023

Organization structure

CorporationProprietary

Incorporated

Mar 30, 2021 in CA

Enrollment address

19737 Ventura Blvd
Ste 300a
Woodland Hills, CA 91364-2696

Listed as

Ca Choice Home Health CareCCN 757295 · All quality measures

Overall star rating

3 of 5

Ownership

-

Certified

Mar 29, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1730762337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19737 VENTURA BLVD STE 300A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19737 VENTURA BLVD STE 300A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642605",
            "telephone_number": "747-302-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA CHOICE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SHIRAKYAN",
        "authorized_official_first_name": "HAKOB",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-302-2001"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.