Malibu Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MALIBU HOME HEALTH INC

Practice address

30101 Agoura CT Ste 236
Agoura Hills, CA 91301-4321

Phone

(323) 580-8488

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Kristina Voskanyan

Title

Ceo

Phone

(323) 580-8488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757157

Legal name

MALIBU HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 25, 2022

Last certification

Oct 25, 2022

Organization structure

CorporationProprietary

Incorporated

May 22, 2020 in CA

Enrollment address

30125 Agoura Rd
Ste F
Agoura Hills, CA 91301-4337

Listed as

Malibu Home Health, Inc.CCN 757157

Ownership

-

Certified

Oct 25, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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.

Affiliated clinicians 1

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

• Adelaida E Bustos, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1467510040

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1851907406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 236",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 236",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014321",
            "telephone_number": "323-580-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "VOSKANYAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-580-8488"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Fadel Mahdy, D.D.S.
• Cindy Trish Mai, PHARM. D
• Ajay Malhotra, PH.D.
• Malibu California Model Drug Treatment Center, Inc
• Malibu California Model Drug Treatment Center,Inc
• Malibu Pathology
• Malibu Physicians Billing Group Inc.
• Ivan Malinarich, DC
• Leyla Mallak, RN, MSN, PMHNP-BC
• Lori Manduke, RN, NP, IBCLC

• Home Health Agency in Agoura Hills, CA
• Providers in Agoura Hills, 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 18, 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.