Active NPI
Fast Response Home Health Inc
- Home Health Agency
- Van Nuys, CA
National Provider Identifier
1902579402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Ownership
- -
- Certified
- May 24, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Grigory Musheghyan | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.