Organization Active NPI

Hillhurst Home Health Care, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1780273417
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HILLHURST HOME HEALTH CARE, INC.
Practice address
1670 Hillhurst Ave Ste 202
Los Angeles, CA 90027-5584
Phone
(949) 771-1997
NPI assigned
Jan 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Authorized official

Name
Iren Bznuni
Title
Secretary
Phone
(949) 771-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1670 Hillhurst Ave Ste 202
Los Angeles, CA 90027-5584

Mailing address

1670 Hillhurst Ave Ste 202
Los Angeles, CA 90027-5584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210420002783 CA Part A Provider - Home Health Agency 2961810569 Practice locations: Los Angeles, CA

Home health agency certification: CCN 753173

Legal name
HILLHURST HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 26, 2022
Last certification
Jun 16, 2022
Organization structure
CorporationProprietary
Incorporated
Aug 21, 2020 in CA
Enrollment address
1670 Hillhurst Ave
Ste 202
Los Angeles, CA 90027-5584

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hillhurst Home Health Care, Inc.CCN 753173 · All quality measures
Ownership
-
Certified
Jun 26, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1670 Hillhurst Ave
Ste 202
Los Angeles, CA 90027
Phone (949) 771-1997

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Joyce G Kaishar Individual 5% Or Greater Indirect Ownership Interest Aug 25, 2020 50%
Corporate OfficerCeo/Cfo Aug 21, 2020 50%
Corporate DirectorCeo/Cfo Aug 21, 2020
W-2 Managing EmployeeCeo/Cfo Aug 21, 2020 50%
Hillhurst Care Holding Inc Organization, Los Angeles, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Aug 25, 2020 100%
Iren Bznuni Individual 5% Or Greater Indirect Ownership Interest Aug 21, 2020 50%
Corporate OfficerSecretary Aug 21, 2020 50%
Corporate DirectorSecretary Aug 21, 2020 50%
W-2 Managing EmployeeSecretary Aug 21, 2020 50%

NPI Registry JSON

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1780273417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 HILLHURST AVE STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 HILLHURST AVE STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275584",
            "telephone_number": "949-771-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLHURST HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "BZNUNI",
        "authorized_official_first_name": "IREN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-771-1997"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.