Organization Active NPI

Optimum Home Health , Inc.

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1801047394
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 11, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 059201 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Apr 15, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Luiza Bakhchyan Individual 5% Or Greater Direct Ownership InterestCeo Apr 22, 2020 100%
Corporate OfficerCeo Apr 22, 2020 100%
Corporate DirectorCeo Apr 22, 2020 100%
W-2 Managing EmployeeCeo Apr 22, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

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

Verify at the official NPI Registry.