Bloom Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLOOM HOME HEALTH, INC

Practice address

13746 Victory Blvd Ste 216
Van Nuys, CA 91401-6725

Phone

(818) 465-3001

Fax

(818) 465-3014

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Gegham Knyazyan

Title

Ceo

Phone

(818) 465-3001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559568

Legal name

BLOOM HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 2, 2021

Last certification

Jun 2, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 11, 2018 in CA

Enrollment address

13746 Victory Blvd
Ste 216
Van Nuys, CA 91401-6725

Listed as

Bloom Home Health, IncCCN 559568

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jun 2, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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.

• Abid Arif Rizvi, M.D.

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1255582540

  Home health agency

  Care Compare affiliation
• Kuixing Zhang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Fresno, CA
  • NPI 1982087110

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1891259719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 216",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016725",
            "telephone_number": "818-465-3001",
            "fax_number": "818-465-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 216",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016725",
            "telephone_number": "818-465-3001",
            "fax_number": "818-465-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "KNYAZYAN",
        "authorized_official_first_name": "GEGHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-465-3001"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessing Home Care, Inc.
• Bliss Home Health Agency
• Bliss Home Health, Inc.
• Bliss Hospice, Inc.
• Blissful Healthcare Services, Inc.
• Michael Gary Bloom, MD
• Zara Bloom
• Bloomfield Enterprises LLC
• Jason Michael Bloomfield, ATP
• Blooming Children

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 24, 2019; 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.