NPIMap

Organization Active NPI

Dedicated Home Health Services, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1861939928
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEDICATED HOME HEALTH SERVICES, INC.
Practice address
4104 1/2 Verdugo Rd
Los Angeles, CA 90065-3821
Phone
(323) 474-6035
Fax
(323) 474-6104
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Mr. Karapet Kyundibekyan
Title
Ceo
Phone
(323) 474-6035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4104 1/2 Verdugo Rd
Los Angeles, CA 90065-3821

Mailing address

4104 1/2 Verdugo Road
Los Angeles, CA 90065-3821
Phone (323) 474-6035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190107003001 CA Part A Provider - Home Health Agency 0749526119 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861939928. Details of each certification follow.

Home health agency certification: CCN 559027

Legal name
DEDICATED HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 16, 2019
Last certification
May 16, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 5, 2016 in CA
Enrollment address
4104 1/2 Verdugo Rd
Los Angeles, CA 90065-3821

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dedicated Home Health Services, IncCCN 559027 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 16, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2157600Dedicated Home Health Services Inc4104 1/2 Verdugo Rd, Glassell, CA 90065Certificate of waiverNov 7, 2026

National Provider Directory

National Provider Directory

Locations

4104 Verdugo Rd
Los Angeles, CA 90065
Phone (323) 474-6035

Ownership & related parties

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.

NameRoleSinceShare
Karapet Kyundibekyan Individual 5% Or Greater Direct Ownership InterestDirector/Ceo Dec 5, 2016 100%
Corporate OfficerDirector/Ceo Dec 5, 2016 100%
Corporate DirectorDirector/Ceo Dec 5, 2016 100%
Operational/Managerial ControlDirector/Ceo Dec 5, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 10

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

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1861939928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 1/2 VERDUGO ROAD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653821",
            "telephone_number": "323-474-6035",
            "fax_number": "323-474-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 1/2 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653821",
            "telephone_number": "323-474-6035",
            "fax_number": "323-474-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "KYUNDIBEKYAN",
        "authorized_official_first_name": "KARAPET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-474-6035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.