Active NPI
Hillhurst Home Health Care, Inc.
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1780273417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Ownership
- -
- Certified
- Jun 26, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joyce G Kaishar | 5% Or Greater Indirect Ownership Interest | Aug 25, 2020 | 50% |
| Corporate Officer | Aug 21, 2020 | 50% | |
| Corporate Director | Aug 21, 2020 | ||
| W-2 Managing Employee | Aug 21, 2020 | 50% | |
| Hillhurst Care Holding Inc | 5% Or Greater Direct Ownership Interest | Aug 25, 2020 | 100% |
| Iren Bznuni | 5% Or Greater Indirect Ownership Interest | Aug 21, 2020 | 50% |
| Corporate Officer | Aug 21, 2020 | 50% | |
| Corporate Director | Aug 21, 2020 | 50% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.