Luxury Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LUXURY HOME HEALTH, INC.

Practice address

14412 Friar St Ste 101
Van Nuys, CA 91401-2124

Phone

(818) 875-4083

NPI assigned

May 31, 2019

Organization subpart

No

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

Authorized official

Name

John Gevorgyan

Title

Ceo

Phone

(818) 875-4083

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559225

Legal name

LUXURY HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 1, 2020

Last certification

May 1, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 2, 2019 in CA

Enrollment address

10012 Commerce Ave
Ste C
Tujunga, CA 91042-2304

Listed as

Luxury Home Health, IncCCN 559225

Overall star rating

3 of 5

Ownership

Proprietary

Certified

May 1, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

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.

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1962060269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14412 FRIAR ST STE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14412 FRIAR ST STE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012124",
            "telephone_number": "818-875-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-875-4083"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christina Lyons
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• M & S Transportation Inc.

• 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 Nov 6, 2023; 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.