Lifespring Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFESPRING HOME HEALTH INC

Practice address

2233 Honolulu Ave Unit 304
Montrose, CA 91020-1635

Phone

(818) 855-9613

Fax

(213) 357-2908

NPI assigned

Sep 16, 2020

Last updated

Sep 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vahan Ghrjyan

Title

Ceo

Phone

(818) 855-9613

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841806734. Details of each certification follow.

• CCN 559747 Home health agency · Active · Details

Home health agency certification: CCN 559747

Legal name

LIFESPRING HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 28, 2021

Last certification

Dec 28, 2021

Organization structure

CorporationProprietary

Incorporated

Jul 23, 2020 in CA

Enrollment address

2233 Honolulu Ave
Unit 304
Montrose, CA 91020-1635

Listed as

Lifespring Home Health IncCCN 559747 · All quality measures

Overall star rating

2.5 of 5

Ownership

-

Certified

Dec 28, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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 3

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

• Pablo Javier Bassuk, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1972625069

  Home health agency

  Care Compare affiliation
• John K Liu, MD

  • Physical Medicine & Rehabilitation Physician
  • Huntington Park, CA
  • NPI 1194739797

  Home health agency

  Care Compare affiliation
• Ilana Solomon, D.O

  • Geriatric Medicine (Family Medicine) Physician
  • Reseda, CA
  • NPI 1235517665

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1841806734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 HONOLULU AVE UNIT 304",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201635",
            "telephone_number": "818-855-9613",
            "fax_number": "213-357-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HONOLULU AVE UNIT 304",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201635",
            "telephone_number": "818-855-9613",
            "fax_number": "213-357-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "GHRJYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-855-9613"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian John Le Clair, PHD LMFT
• Yeon Lee-Woodley, MS CCC-SLP
• Chul Jae Lee, LAC.
• Cynthia Lee
• Ruby-Ann Sbelpkoohm Lee, CMT
• Eunice S Lim, DPT
• Robert Elliott Llamas, PHD
• Brianna Jazlynn Lopez, PHARMD
• Kellie Toshiye Lopez, FNP
• Loppnow Contemplative Therapy and Marriage Inc

• Home Health Agency in Montrose, CA
• Providers in Montrose, 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 Sep 16, 2020; 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.