Queen Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

QUEEN HOME HEALTH, INC

Practice address

7200 Vineland Ave Unit 209
Sun Valley, CA 91352-5089

Phone

(818) 305-5533

NPI assigned

Nov 1, 2019

Organization subpart

No

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

Authorized official

Name

Hamlet Korkotyan

Title

Ceo/Cfo

Phone

(818) 305-5533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559535

Legal name

QUEEN HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 28, 2021

Last certification

Jun 28, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

7200 Vineland Ave
Ste 209
Sun Valley, CA 91352-5089

Listed as

Queen Home Health, IncCCN 559535

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Jun 28, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1831733849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 VINELAND AVE UNIT 209",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 VINELAND AVE UNIT 209",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525089",
            "telephone_number": "818-305-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "KORKOTYAN",
        "authorized_official_first_name": "HAMLET",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "818-305-5533"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.

Verify at the official NPI Registry.