Organization Active NPI

Med Care, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1942496906
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MED CARE, INC.
Practice address
6047 Tampa Ave.,
Suite 304
Tarzana, CA 91356
Phone
(818) 336-9811
Fax
(818) 812-7832
NPI assigned
Sep 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Ms. Lyudmila Gurman
Title
President/Ceo
Phone
(213) 739-8907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6047 Tampa Ave.,
Suite 304
Tarzana, CA 91356

Mailing address

6047 Tampa Ave.,
Suite 304
Tarzana, CA 91356
Phone (818) 336-9811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071119000712 CA Part A Provider - Home Health Agency 6709974025 Practice locations: Valley Village, CA

Home health agency certification: CCN 059140

Legal name
MED CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 14, 2009
Last certification
Jan 10, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 1, 2007 in CA
Enrollment address
12722 Riverside Dr
Ste 101
Valley Village, CA 91607-3357

Care Compare: Home health agency

Medicare Care Compare
Listed as
Med Care, IncCCN 059140
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Dec 14, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1077331Med Care Inc12722 Riverside Dr Ste 101, Valley Village, CA 91607Certificate of waiverJun 20, 2027

National Provider Directory

National Provider Directory

Locations

6047 Tampa Ave
Ste 304
Tarzana, CA 91356
Phone (818) 336-9811

12722 Riverside Dr
Ste 101
Valley Village, CA 91607
Phone (818) 336-9811

Ownership & related parties

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.

NameRoleSinceShare
Lyudmila Gurman Individual 5% Or Greater Direct Ownership Interest Oct 16, 2007 100%
Corporate OfficerPresident/Ceo Aug 1, 2007 100%
Corporate DirectorPresident/Ceo Oct 16, 2007 100%
W-2 Managing EmployeeAdministrator/Don Oct 16, 2007
Marina Gold Individual Contracted Managing Employee Oct 16, 2007

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1190505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1942496906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 TAMPA AVE.,",
            "address_2": "SUITE 304",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-336-9811",
            "fax_number": "818-812-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 TAMPA AVE.,",
            "address_2": "SUITE 304",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-336-9811",
            "fax_number": "818-812-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-23",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "GURMAN",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "213-739-8907",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.