Organization Active NPI

Close to Home Healthcare Services, Inc

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1871123877
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLOSE TO HOME HEALTHCARE SERVICES, INC
Practice address
6240 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606-3219
Phone
(818) 835-9090
Fax
(818) 835-9258
NPI assigned
Jan 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Hegine Yakhszyan
Title
Ceo
Phone
(818) 835-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6240 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606-3219

Mailing address

6240 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606-3219
Phone (818) 835-9090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200911002017 CA Part A Provider - Home Health Agency 3779901467 Practice locations: North Hollywood, CA

Home health agency certification: CCN 559476

Legal name
CLOSE TO HOME HEALTHCARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 19, 2021
Last certification
Apr 19, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 24, 2019 in CA
Enrollment address
6240 Laurel Canyon Blvd
Ste 200
North Hollywood, CA 91606-3219
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Close to Home Healthcare Services, IncCCN 559476
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 19, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

22048 Sherman Way
Ste 110
Canoga Park, CA 91303
Phone (818) 697-1725

6240 Laurel Canyon Blvd
Ste 200
North Hollywood, CA 91606
Phone (818) 835-9090

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
Hegine Yakhszyan Individual 5% Or Greater Direct Ownership InterestCeo Mar 17, 2020 100%
Corporate OfficerCeo Mar 17, 2020 100%
Corporate DirectorCeo Mar 17, 2020 100%
W-2 Managing EmployeeCeo Mar 17, 2020 100%

NPI Registry JSON

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1871123877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 LAUREL CANYON BLVD STE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063219",
            "telephone_number": "818-835-9090",
            "fax_number": "818-835-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 LAUREL CANYON BLVD STE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063219",
            "telephone_number": "818-835-9090",
            "fax_number": "818-835-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOSE TO HOME HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-19",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "YAKHSZYAN",
        "authorized_official_first_name": "HEGINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-835-9090"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.