Evita Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVITA HOME HEALTH INC

Practice address

3171 Los Feliz Blvd Ste 202I
Los Angeles, CA 90039-1536

Phone

(747) 356-4261

NPI assigned

Mar 23, 2022

Last updated

Mar 23, 2022By 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

Larisa Durgaryan

Title

Ceo

Phone

(747) 356-4261

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 1851040174. Details of each certification follow.

• CCN 757904 Home health agency · Active · Details

Home health agency certification: CCN 757904

Legal name

EVITA HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 28, 2025

Last certification

Feb 28, 2025

Organization structure

CorporationProprietary

Incorporated

Mar 15, 2022 in CA

Enrollment address

3171 Los Feliz Blvd
Ste 202 I
Los Angeles, CA 90039-1536

Listed as

Evita Home Health Inc.CCN 757904 · All quality measures

Ownership

-

Certified

Feb 28, 2025

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": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1851040174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD STE 202I",
            "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 202I",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391536",
            "telephone_number": "747-356-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVITA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "DURGARYAN",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-356-4261"
    },
    "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 Los Angeles, CA
• Providers in Los Angeles, 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 23, 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.