First Doc Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRST DOC HOME HEALTH, INC.

Practice address

440 Western Ave Ste 102
Glendale, CA 91201-3540

Phone

(870) 888-0888

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sergey Darbinyan

Title

Ceo

Phone

(870) 888-0888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871182535. Details of each certification follow.

• CCN 757321 Home health agency · Active · Details

Home health agency certification: CCN 757321

Legal name

FIRST DOC HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 11, 2023

Last certification

May 9, 2023

Organization structure

CorporationProprietary

Incorporated

Sep 30, 2020 in CA

Enrollment address

440 Western Ave
Ste 102
Glendale, CA 91201-3540

Listed as

First Doc Home Health, Inc.CCN 757321 · All quality measures

Overall star rating

3 of 5

Ownership

-

Certified

Jul 11, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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.

Affiliated clinicians 2

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

• Rohit Chetty, MD

  • Family Medicine Physician
  • San Fernando, CA
  • NPI 1508245325

  Home health agency

  Care Compare affiliation
• Shabana N Tariq, MD

  • Family Medicine Physician
  • Sylmar, CA
  • NPI 1992870299

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1871182535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WESTERN AVE STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013540",
            "telephone_number": "870-888-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WESTERN AVE STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013540",
            "telephone_number": "870-888-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DOC HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "DARBINYAN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-888-0888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "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 Jan 15, 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.