Active NPI
Optimum Home Health , Inc.
- Home Health Agency
- Pasadena, CA
National Provider Identifier
1801047394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OPTIMUM HOME HEALTH , INC.
- Practice address
- 1722 E Washington Blvd
Pasadena, CA 91104-2751 - Phone
- (626) 486-2265
- Fax
- (626) 628-3977
- NPI assigned
- Oct 2, 2008
- 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
- Ms. Luiza Bakhchyan
- Title
- Ceo
- Phone
- (626) 486-2265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CA | Primary |
Addresses
Primary practice location
1722 E Washington Blvd
Pasadena, CA 91104-2751
Mailing address
1722 E Washington Blvd
Pasadena, CA 91104-2751
Phone (626) 486-2265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090108000002 | CA | Part A Provider - Home Health Agency | 7315000908 | Practice locations: Pasadena, CA |
Home health agency certification: CCN 059201
- Legal name
- OPTIMUM HOME HEALTH , INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 15, 2010
- Last certification
- Feb 28, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 8, 2008 in CA
- Enrollment address
- 1722 E Washington Blvd
Pasadena, CA 91104-2751
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Optimum Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 15, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
5800 Hannum Ave
Ste A215
Culver City, CA 90230
5800 Hannum Ave
Ste 215
Culver City, CA 90230
1722 E Washington Blvd
Pasadena, CA 91104
Phone (626) 486-2265
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Luiza Bakhchyan | 5% Or Greater Direct Ownership Interest | Apr 22, 2020 | 100% |
| Corporate Officer | Apr 22, 2020 | 100% | |
| Corporate Director | Apr 22, 2020 | 100% | |
| W-2 Managing Employee | Apr 22, 2020 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- General Practice Physician
- Pasadena, CA
- NPI 1073650925
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1801047394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 E WASHINGTON BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042751",
"telephone_number": "626-486-2265",
"fax_number": "626-628-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 E WASHINGTON BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042751",
"telephone_number": "626-486-2265",
"fax_number": "626-628-3977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HOME HEALTH , INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-02",
"last_updated": "2024-07-11",
"certification_date": "2022-02-22",
"status": "A",
"authorized_official_last_name": "BAKHCHYAN",
"authorized_official_first_name": "LUIZA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-486-2265",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.