Organization Active NPI

Kami Home Health, Inc.

  • Home Health Agency
  • West Covina, CA
National Provider Identifier
1871177071
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KAMI HOME HEALTH, INC.
Practice address
855 N Lark Ellen Ave Ste Q
West Covina, CA 91791-1099
Phone
(626) 479-1470
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Gary Petrosyan
Title
Ceo
Phone
(626) 479-1470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

855 N Lark Ellen Ave Ste Q
West Covina, CA 91791-1099

Mailing address

855 N Lark Ellen Ave Ste Q
West Covina, CA 91791-1099
Phone (626) 479-1470

National Provider Directory

National Provider Directory

Locations

855 N Lark Ellen Ave
Ste Q
West Covina, CA 91791
Phone (626) 479-1470

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1871177071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N LARK ELLEN AVE STE Q",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911099",
            "telephone_number": "626-479-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N LARK ELLEN AVE STE Q",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911099",
            "telephone_number": "626-479-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMI HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-479-1470"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.