California Healthcare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CALIFORNIA HEALTHCARE, INC

Practice address

12444 Victory Blvd Ste 100
North Hollywood, CA 91606-3199

Phone

(818) 332-3044

Fax

(818) 332-3041

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Ani Anush Adzhyan

Title

Ceo

Phone

(818) 332-3044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757806

Legal name

CALIFORNIA HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 3, 2024

Last certification

Dec 3, 2024

Organization structure

CorporationProprietary

Enrollment address

12444 Victory Blvd
Ste 100
North Hollywood, CA 91606-3156

Listed as

California Healthcare, IncCCN 757806

Ownership

-

Certified

Dec 3, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1841980901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063156",
            "telephone_number": "818-332-3044",
            "fax_number": "818-332-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "818-332-3044",
            "fax_number": "818-332-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "ADZHYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_middle_name": "ANUSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-332-3044"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• California Rehab Group
• Calmedics Inc

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, 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 Jun 7, 2023; 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.