Forever Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FOREVER HOME HEALTH CARE, INC.

Practice address

3504 W Magnolia Blvd Ste 212
Burbank, CA 91505-2911

Phone

(323) 590-1215

Fax

(323) 400-2781

NPI assigned

Jun 2, 2021

Last updated

Jun 2, 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

Anahit Grigoryan

Title

Ceo

Phone

(323) 590-1215

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770159444. Details of each certification follow.

• CCN 757350 Home health agency · Active · Details

Home health agency certification: CCN 757350

Legal name

FOREVER HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 28, 2023

Last certification

Aug 11, 2023

Organization structure

CorporationProprietary

Incorporated

Apr 7, 2021 in CA

Enrollment address

3504 W Magnolia Blvd
Ste 212
Burbank, CA 91505-2911

Listed as

Forever Home Health Care, Inc.CCN 757350 · All quality measures

Overall star rating

3.5 of 5

Ownership

-

Certified

Aug 28, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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 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": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1770159444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 W MAGNOLIA BLVD STE 212",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052911",
            "telephone_number": "323-590-1215",
            "fax_number": "323-400-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 W MAGNOLIA BLVD STE 212",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052911",
            "telephone_number": "323-590-1215",
            "fax_number": "323-400-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "ANAHIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-590-1215"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "foreverhhcinc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business E-mail Address",
            "address_1": "3504 W Magnolia Blvd Ste 212",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915052911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• 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 2, 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.