Direct Care Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIRECT CARE HOME HEALTH, INC.

Practice address

232 N Lake Ave Ste 212
Pasadena, CA 91101-4152

Phone

(626) 495-0005

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Nune Avagyan

Title

Ceo

Phone

(626) 495-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559402

Legal name

DIRECT CARE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 28, 2020

Last certification

Jul 28, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

232 N Lake Ave
Ste 212
Pasadena, CA 91101-4152

Listed as

Direct Care Home Health, IncCCN 559402

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jul 28, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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

CLIA laboratory certificates

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": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1962964502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 N LAKE AVE STE 212",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014152",
            "telephone_number": "626-495-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 N LAKE AVE STE 212",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014152",
            "telephone_number": "626-495-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "AVAGYAN",
        "authorized_official_first_name": "NUNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-495-0005"
    },
    "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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• Home Health Agency in Pasadena, CA
• Providers in Pasadena, 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 Apr 2, 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.