NPIMap

Organization Active NPI

Dynamic Home Care Services Inc.

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1811076870
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000668 Issued in CA
Legal business name
DYNAMIC HOME CARE SERVICES INC.
Practice address
14260 Ventura Blvd
Suite 301
Sherman Oaks, CA 91423-2734
Phone
(818) 981-4446
Fax
(818) 981-0677
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Nissan Pardo, PH.D.
Title
Ceo/Cfo
Phone
(818) 981-4446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000668 CA Primary

Addresses

Primary practice location

14260 Ventura Blvd
Suite 301
Sherman Oaks, CA 91423-2734

Mailing address

14260 Ventura Blvd
Suite 301
Sherman Oaks, CA 91423-2734
Phone (818) 981-4446

Other identifiers 1

IdentifierTypeStateIssuer
HHA57280FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080318000435 CA Part A Provider - Home Health Agency 1951487867 Practice locations: Sherman Oaks, CA

Home health agency certification: CCN 557280

Legal name
DYNAMIC HOME CARE SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 15, 1993
Last certification
Mar 6, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 1, 1987 in CA
Enrollment address
14260 Ventura Blvd 301
Sherman Oaks, CA 91423-2734

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dynamic Home CareCCN 557280
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Apr 15, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0963470Dynamic Home Care14260 Ventura Blvd, Ste 301, Sherman Oaks, CA 91423Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

14260 Ventura Blvd
Ste 301
Sherman Oaks, CA 91423
Phone (818) 481-8837

14260 Ventura Blvd
Ste 300
Sherman Oaks, CA 91423

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
Ronald a Pardo Individual 5% Or Greater Direct Ownership InterestOwner Dec 22, 2020 16.66%
Corporate DirectorBoard Member Dec 22, 2020 16.66%
Lucila N Hyde Individual W-2 Managing EmployeeDirector of Patient Care Service Jun 9, 2017 50%
Operational/Managerial ControlDirector of Patient Care Service Jun 9, 2017 50%
Carol R Silver-Lutza Individual 5% Or Greater Direct Ownership InterestOwner May 1, 1994 83.34%
Corporate OfficerCeo/Cfo May 1, 1994 83.34%
Operational/Managerial ControlAdministrator May 1, 1994

Practitioners & affiliated clinicians

Affiliated clinicians 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1811076870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14260 VENTURA BLVD",
            "address_2": "SUITE 301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232734",
            "telephone_number": "818-981-4446",
            "fax_number": "818-981-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14260 VENTURA BLVD",
            "address_2": "SUITE 301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232734",
            "telephone_number": "818-981-4446",
            "fax_number": "818-981-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HOME CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "NISSAN",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "818-981-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57280F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.