Excellent Home Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EXCELLENT HOME CARE INC.

Practice address

5311 Topanga Canyon Blvd Ste 205
Woodland Hills, CA 91364-1770

Phone

(818) 697-4244

NPI assigned

Apr 27, 2021

Last updated

Jul 27, 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

Sarah Z Baghdasaryan

Title

Ceo

Phone

(818) 697-4244

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 1780266817. Details of each certification follow.

• CCN 757217 Home health agency · Active · Details

Home health agency certification: CCN 757217

Legal name

EXCELLENT HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 20, 2023

Last certification

Mar 10, 2023

Organization structure

CorporationProprietary

Incorporated

Mar 22, 2021 in CA

Enrollment address

5311 Topanga Canyon Blvd
Ste 205
Woodland Hills, CA 91364-1770

Listed as

Excellent Home Care IncCCN 757217 · All quality measures

Overall star rating

3.5 of 5

Ownership

-

Certified

Mar 20, 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.

Affiliated clinicians 1

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

• Bashar Mousa Shahatit, M.D.

  • Family Medicine Physician
  • Apple Valley, CA
  • NPI 1831416742

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1780266817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 205",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641770",
            "telephone_number": "818-697-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 205",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641770",
            "telephone_number": "818-697-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "BAGHDASARYAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-697-4244"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.