Demetra Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DEMETRA HOME HEALTH CARE, INC

Practice address

22543 Ventura Blvd Ste 227
Woodland Hills, CA 91364-1482

Phone

(818) 855-9350

Fax

(818) 855-9513

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Sabina Ambartsoumova

Title

Ceo

Phone

(818) 855-9650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559465

Legal name

DEMETRA HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 13, 2021

Last certification

Feb 13, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 28, 2019 in CA

Enrollment address

22543 Ventura Blvd
Ste 227
Woodland Hills, CA 91364-1482
HHA Branch

Listed as

Demetra Home Health Care, IncCCN 559465

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Feb 13, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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.

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1861034407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22543 VENTURA BLVD STE 227",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641482",
            "telephone_number": "818-855-9350",
            "fax_number": "818-855-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22543 VENTURA BLVD STE 227",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641482",
            "telephone_number": "818-855-9350",
            "fax_number": "818-855-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRA HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "AMBARTSOUMOVA",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-855-9650",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Woodland Hills, CA
• Providers in Woodland 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 Oct 15, 2019; 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.