Organization Active NPI

Care and Support Home Health Inc

  • Home Health Agency
  • Lancaster, CA
National Provider Identifier
1982074738
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE AND SUPPORT HOME HEALTH INC
Practice address
43801 Halcom Ave
Lancaster, CA 93536-5819
Phone
(323) 434-3737
Fax
(661) 480-2255
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Elmira Jamalyan
Title
Ceo
Phone
(661) 466-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

43801 Halcom Ave
Lancaster, CA 93536-5819

Mailing address

43801 Halcom Ave
Lancaster, CA 93536-5819
Phone (323) 434-3737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160208001291 CA Part A Provider - Home Health Agency 5890099121 Practice locations: Lancaster, CA

Home health agency certification: CCN 053182

Legal name
CARE AND SUPPORT HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 17, 2018
Last certification
Jul 27, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 2, 2016 in CA
Enrollment address
43801 Halcom Ave
Lancaster, CA 93536-5819

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care & Support Home Health, IncCCN 053182
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 17, 2018
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
05D2110898Care & Support Home Health Inc43801 Halcom Ave, Lancaster, CA 93536Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Elmira Jamalyan Individual 5% Or Greater Direct Ownership Interest Sep 18, 2015 100%
Corporate OfficerPresident/Owner Sep 18, 2015 100%
Corporate Director Sep 18, 2015 100%
W-2 Managing Employee Sep 18, 2015 100%

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": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1982074738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43801 HALCOM AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365819",
            "telephone_number": "323-434-3737",
            "fax_number": "661-480-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43801 HALCOM AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365819",
            "telephone_number": "323-434-3737",
            "fax_number": "661-480-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AND SUPPORT HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "JAMALYAN",
        "authorized_official_first_name": "ELMIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-466-2400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.