LH Home Care Service Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LH HOME CARE SERVICE INC

Practice address

520 E Wilson Ave Ste 240
Glendale, CA 91206-4350

Phone

(818) 646-4055

NPI assigned

Nov 28, 2021

Organization subpart

No

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

Authorized official

Name

Hovhannes Khachatryan

Title

Ceo

Phone

(818) 646-4055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757684

Legal name

LH HOME CARE SERVICE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 20, 2024

Last certification

May 14, 2024

Organization structure

CorporationProprietary

Incorporated

Oct 27, 2021 in CA

Enrollment address

520 E Wilson Ave
Ste 240
Glendale, CA 91206-4350

Listed as

LH Home Care Service Inc.CCN 757684 · All quality measures

Ownership

-

Certified

May 20, 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.

Affiliated clinicians 1

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

• Tsovinar Tekkelian, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Glendale, CA
  • NPI 1558447607

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1861159709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E WILSON AVE STE 240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E WILSON AVE STE 240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064350",
            "telephone_number": "818-646-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LH HOME CARE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "HOVHANNES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-646-4055"
    },
    "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 Glendale, CA
• Providers in Glendale, 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 Nov 28, 2021; 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.