Organization Active NPI

NCM Care Home Health

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1811510548
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NCM CARE HOME HEALTH
Doing business as
NCM Care Home Health
Practice address
303 N Glenoaks Blvd Ste 225
Burbank, CA 91502-1116
Phone
(323) 314-7344
Fax
(323) 978-5172
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Christina Nazaretyan
Title
Ceo/President
Phone
(323) 314-7344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

303 N Glenoaks Blvd Ste 225
Burbank, CA 91502-1116

Mailing address

8156 Redbush LN
Panorama City, CA 91402-5316
Phone (323) 314-7344

Other names 1

  • NCM CARE HOME HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200702001252 CA Part A Provider - Home Health Agency 4981027356 Practice locations: Burbank, CA

Home health agency certification: CCN 559439

Legal name
NCM CARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 23, 2021
Last certification
Apr 23, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 30, 2020 in CA
Enrollment address
303 N Glenoaks Blvd
Ste 225
Burbank, CA 91502-1116

Care Compare: Home health agency

Medicare Care Compare
Listed as
NCM Care Home Health, LLCCCN 559439 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Apr 23, 2021
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

303 N Glenoaks Blvd
Ste 225
Burbank, CA 91502
Phone (323) 314-7344

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
Christina Nazaretyan Individual 5% Or Greater Direct Ownership Interest Apr 30, 2020 100%
Corporate Officer Apr 30, 2020 100%
Corporate Director Apr 30, 2020 100%
W-2 Managing Employee Apr 30, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1811510548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8156 REDBUSH LN",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025316",
            "telephone_number": "323-314-7344",
            "fax_number": "323-978-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N GLENOAKS BLVD STE 225",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021116",
            "telephone_number": "323-314-7344",
            "fax_number": "323-978-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCM CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "NAZARETYAN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "323-314-7344"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCM CARE HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.