Opulent Care Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPULENT CARE HOME HEALTH, INC.

Practice address

13907 Ventura Blvd Ste 106
Sherman Oaks, CA 91423-3543

Phone

(800) 727-1341

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

David Mailyan

Title

Ceo

Phone

(800) 727-1341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757695

Legal name

OPULENT CARE HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 3, 2024

Last certification

May 23, 2024

Organization structure

CorporationProprietary

Incorporated

Oct 26, 2021 in CA

Enrollment address

13907 Ventura Blvd
Ste 106
Sherman Oaks, CA 91423-3543

Listed as

Opulent Care Home Health, Inc.CCN 757695

Ownership

-

Certified

Jun 3, 2024

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": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1760149561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13907 VENTURA BLVD STE 106",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233543",
            "telephone_number": "800-727-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13907 VENTURA BLVD STE 106",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233543",
            "telephone_number": "800-727-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULENT CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "MAILYAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-727-1341"
    },
    "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 Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Nov 29, 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.