K & K Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

K & K HOME HEALTH CARE, INC.

Practice address

411 N Central Ave Ste 305
Glendale, CA 91203-2020

Phone

(818) 352-4747

Fax

(818) 352-4748

NPI assigned

Jun 12, 2015

Organization subpart

No

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

Authorized official

Name

Yervand Mnatsakanyan

Title

Ceo/President

Phone

(818) 352-4747

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 053120

Legal name

K & K HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 16, 2017

Last certification

Jun 23, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

411 N Central Ave
Ste 300
Glendale, CA 91203-3135

Listed as

K & K Home Health Care, IncCCN 053120 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jun 16, 2017

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tze Yu Dang, MD

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1932202470
  NPD

Affiliated clinicians 7

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

• Rodney Ebrahimian, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
  • NPI 1295880698

  Home health agency

  Care Compare affiliation
• Kyle Hehe, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mission Viejo, CA
  • NPI 1194245795

  Home health agency

  Care Compare affiliation
• Armen Hovhannisyan, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1740488998

  Home health agency

  Care Compare affiliation
• Luzviminda T. Montecillo, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1447348149

  Home health agency

  Care Compare affiliation
• Valentine U Otuechere, MD., MPH.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1508896275

  Home health agency

  Care Compare affiliation
• Rafael Arturo Penunuri, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1831270362

  Home health agency

  Care Compare affiliation
• Michael K. Wensley, M.D.

  • Specialist
  • West Hollywood, CA
  • NPI 1841336740

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1972984227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7728 FOOTHILL BLVD SUITE B",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "91042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N CENTRAL AVE STE 305",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032020",
            "telephone_number": "818-352-4747",
            "fax_number": "818-352-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANYAN",
        "authorized_official_first_name": "YERVAND",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-352-4747"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendale, CA
• Providers in Glendale, 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 30, 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.