Active NPI
Wellness Plus Home Health Inc
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1821852955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WELLNESS PLUS HOME HEALTH INC
- Practice address
- 3171 Los Feliz Blvd Ste 202G
Los Angeles, CA 90039-1536 - Phone
- (323) 446-9838
- NPI assigned
- Feb 8, 2024
- 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
- Edgar Gevorgyan
- Title
- Ceo
- Phone
- (323) 446-9838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3171 Los Feliz Blvd Ste 202G
Los Angeles, CA 90039-1536
Mailing address
3171 Los Feliz Blvd Ste 202G
Los Angeles, CA 90039-1536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250307000574 | CA | Part A Provider - Home Health Agency | 1658892500 | Practice locations: Los Angeles, CA |
Home health agency certification: CCN 758004
- Legal name
- WELLNESS PLUS HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 11, 2025
- Last certification
- Jun 11, 2025
- Organization structure
- Corporation
- Enrollment address
- 3171 Los Feliz Blvd
Ste 202G
Los Angeles, CA 90039-1536
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Wellness Plus Home Health Inc
- Ownership
- -
- Certified
- Jun 11, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
3171 Los Feliz Blvd
Ste 202G
Los Angeles, CA 90039
Phone (323) 446-9838
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Wellness Healthcare Management Inc | 5% Or Greater Direct Ownership Interest | Jan 24, 2025 | 100% |
| Edgar Gevorgyan | 5% Or Greater Indirect Ownership Interest | Jan 24, 2025 | 100% |
| Corporate Officer | Jan 24, 2025 | 100% | |
| Corporate Director | Jan 24, 2025 | 100% | |
| W-2 Managing Employee | Jan 24, 2025 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Sports Medicine (Family Medicine) Physician
- Pasadena, CA
- NPI 1225433006
Home health agency
-
- Addiction Medicine (Family Medicine) Physician
- San Diego, CA
- NPI 1699844621
Home health agency
-
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
- NPI 1386608180
Home health agency
-
- Family Medicine Physician
- Henderson, NV
- NPI 1093887598
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1821852955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3171 LOS FELIZ BLVD STE 202G",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900391536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3171 LOS FELIZ BLVD STE 202G",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900391536",
"telephone_number": "323-446-9838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS PLUS HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "GEVORGYAN",
"authorized_official_first_name": "EDGAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-446-9838"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Wellness & Equity Foundation Inc.
- Wellness Center at Century City
- Wellness Group of California Family Therapy, Professional Corporation
- Wellness Interprofessional Physical Therapy Corporation, PC
- Wellness Partners Home Health Inc
- Wellness Psychiatry P.C.
- Wellness Transportation LLC
- Wellnest Emotional Health & Wellness
- Wellnest Emotional Health & Wellness
- Wellnest Emotional Health & Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.