St Joseph Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST JOSEPH HOME HEALTH CARE, INC.

Practice address

353 E Angeleno Ave
Suite E
Burbank, CA 91502-1310

Phone

(818) 523-2393

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Zara Kulakchyan

Title

Ceo

Phone

(818) 523-2393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559117

Legal name

ST JOSEPH HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 23, 2019

Last certification

Aug 23, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

353 E Angeleno Ave
Ste E
Burbank, CA 91502-1310

Listed as

St Joseph Home Health Care, IncCCN 559117

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Aug 23, 2019

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.

• Peter Nabil Mikhail, D.O.

  • Family Medicine Physician
  • El Segundo, CA
  • NPI 1861506941

  Home health agency

  Care Compare affiliation
• Anna Walker, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1164104238

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1891170965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E ANGELENO AVE",
            "address_2": "SUITE E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E ANGELENO AVE",
            "address_2": "SUITE E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021310",
            "telephone_number": "818-523-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "KULAKCHYAN",
        "authorized_official_first_name": "ZARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "18185232393"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trey Spooner
• Spring Garden HHA
• SPRK Psychological Services Incorporated
• St Catherine Hospice Care Inc
• St Dylan Hospice Inc
• St Joseph Medical of Burbank, Inc.
• St Joseph Pharmacy Inc
• St. Joseph Health System Home Care Services LLC
• St. Joseph Hospitalist Medical Group, Inc.
• St. Joseph Intensivist Group, Inc.

• Home Health Agency in Burbank, CA
• Providers in Burbank, 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 25, 2016; 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.