Organization Active NPI

Fast Response Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1902579402
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAST RESPONSE HOME HEALTH INC
Practice address
6410 Van Nuys Blvd
Unit E101
Van Nuys, CA 91401-1449
Phone
(747) 226-2248
Fax
(951) 242-9406
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Grigori Eduardi Musheghyan
Title
Ceo
Phone
(747) 226-2248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6410 Van Nuys Blvd
Unit E101
Van Nuys, CA 91401-1449

Mailing address

6410 Van Nuys Blvd
Unit E101
Van Nuys, CA 91401-1449
Phone (747) 226-2248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220901000348 CA Part A Provider - Home Health Agency 9537543004 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757461

Legal name
FAST RESPONSE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 24, 2023
Last certification
May 17, 2023
Organization structure
CorporationProprietary
Incorporated
Nov 18, 2020 in CA
Enrollment address
13746 Victory Blvd
Ste 210
Van Nuys, CA 91401-6718

Care Compare: Home health agency

Medicare Care Compare
Listed as
Fast Response Home Health IncCCN 757461
Overall star rating
4 of 5
Ownership
-
Certified
May 24, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

13746 Victory Blvd
Ste 210
Van Nuys, CA 91401
Phone (747) 226-2248

6410 Van Nuys Blvd
Unit E101
Van Nuys, CA 91401
Phone (747) 226-2248

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
Grigory Musheghyan Individual 5% Or Greater Direct Ownership Interest Nov 18, 2020 100%
Corporate Officer Nov 18, 2020
Corporate Director Nov 18, 2020
W-2 Managing Employee Nov 18, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1902579402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 VAN NUYS BLVD",
            "address_2": "UNIT E101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011449",
            "telephone_number": "747-226-2248",
            "fax_number": "951-242-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 VAN NUYS BLVD",
            "address_2": "UNIT E101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011449",
            "telephone_number": "747-226-2248",
            "fax_number": "951-242-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST RESPONSE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "MUSHEGHYAN",
        "authorized_official_first_name": "GRIGORI",
        "authorized_official_middle_name": "EDUARDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-226-2248"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.