NPIMap

Organization Active NPI

Med Care Plus Home Health, Inc.

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1871963140
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001413 Issued in CA
Legal business name
MED CARE PLUS HOME HEALTH, INC.
Practice address
490 S Rosemead Blvd Ste 9
Pasadena, CA 91107-4957
Phone
(626) 796-0534
Fax
(626) 796-0574
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Anna Grigoryan
Title
Ceo
Phone
(626) 796-0534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001413 CA Primary

Addresses

Primary practice location

490 S Rosemead Blvd Ste 9
Pasadena, CA 91107-4957

Mailing address

490 S Rosemead Blvd Ste 9
Pasadena, CA 91107-4957
Phone (626) 796-0534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151028003107 CA Part A Provider - Home Health Agency 6002125242 Practice locations: Pasadena, CA

Home health agency certification: CCN 058155

Legal name
MED CARE PLUS HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 16, 2003
Last certification
Feb 4, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 19, 2015 in CA
Enrollment address
490S Rosemead Blvd 9
Pasadena, CA 91107-4957
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Med Care Plus Home Health IncCCN 058155
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jan 16, 2003
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

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
Anna Grigoryan Individual 5% Or Greater Direct Ownership InterestCeo Jun 19, 2015 100%
Corporate OfficerCeo Jun 19, 2015 100%
Corporate DirectorCeo Jun 19, 2015 100%
W-2 Managing EmployeeCeo Jun 19, 2015 100%

Practitioners & affiliated clinicians

Affiliated clinicians 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1871963140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 S ROSEMEAD BLVD STE 9",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074957",
            "telephone_number": "626-796-0534",
            "fax_number": "626-796-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S ROSEMEAD BLVD STE 9",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074957",
            "telephone_number": "626-796-0534",
            "fax_number": "626-796-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CARE PLUS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-796-0534"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.