Colby Care Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000601 Issued in CA

Legal business name

COLBY CARE HOME HEALTH, INC.

Practice address

19531 Parthenia St
Northridge, CA 91324-3406

Phone

(818) 349-3919

Fax

(818) 349-9110

NPI assigned

Jul 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Behrooz Sumekh

Title

President

Phone

(818) 349-3919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059794

Legal name

COLBY CARE HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 13, 2016

Last certification

May 23, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

19531 Parthenia St B
Northridge, CA 91324-3465
HHA Branch

Listed as

Colby Care Home Health, IncCCN 059794

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Aug 13, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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.

Affiliated clinicians 1

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

• A Kolluru, M.D.

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1598052607

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1841545241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19531 PARTHENIA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243406",
            "telephone_number": "818-349-3919",
            "fax_number": "818-349-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19531 PARTHENIA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243406",
            "telephone_number": "818-349-3919",
            "fax_number": "818-349-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBY CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "SUMEKH",
        "authorized_official_first_name": "BEHROOZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-349-3919",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastline Chiropractic Corp
• Coastline Therapy Center
• Stacey Ann Cohen-Maitre
• Andres Samuel Cohen
• Carly Erin Cohen
• Steven L Cole, MD
• William R Coleman, MD
• Yanet Collazo
• Marta Lidia Colocho
• Miguel Colson

• Home Health Agency in Northridge, CA
• Providers in Northridge, 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 Jul 23, 2012; 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.