Fidelity Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIDELITY HOME HEALTH CARE INC

Practice address

4195 Valley Fair St
Suite 106
Simi Valley, CA 93063-2953

Phone

(805) 577-7655

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Inga Hakhumyan

Title

Ceo

Phone

(805) 577-7655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059073

Legal name

FIDELITY HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 7, 2009

Last certification

Jul 19, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 13, 2008 in CA

Enrollment address

4195 Valley Fair St 106
Simi Valley, CA 93063-2951

Listed as

Fidelity Home Health Care IncCCN 059073 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Sep 7, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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.

• Garry Forkosh, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
  • NPI 1750519385

  Home health agency

  Care Compare affiliation
• Elvira Alexandrovna Lindwall, M.D.

  • Rheumatology Physician
  • Thousand Oaks, CA
  • NPI 1881890713

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263081600000",
    "number": "1881857829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 VALLEY FAIR ST",
            "address_2": "SUITE 106",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 VALLEY FAIR ST",
            "address_2": "SUITE 106",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632953",
            "telephone_number": "805-577-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2010-01-10",
        "status": "A",
        "authorized_official_last_name": "HAKHUMYAN",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-577-7655"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Fernandez, RN
• Jill Fernando
• Lindsey Ferralli, RRT
• Cinthia Elena Ferreira-Miller, LMFT
• Tracy Marie Ferris, MFTI
• Fidelity Hospice, Inc.
• Robert Alexander Fielding, PA
• Gloria Finch
• Maureen Patricia Finkle, LCSW
• First Response Home Health Services, Inc.

• Home Health Agency in Simi Valley, CA
• Providers in Simi Valley, 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 10, 2010; 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.