Active NPI
Care and Support Home Health Inc
- Home Health Agency
- Lancaster, CA
National Provider Identifier
1982074738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 17, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2110898 | Care & Support Home Health Inc | Certificate of waiver | Mar 24, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Elmira Jamalyan | 5% Or Greater Direct Ownership Interest | Sep 18, 2015 | 100% |
| Corporate Officer | 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
- Cardiovascular Institute of Southern California
- Cheryl R Cardona
- Maricela Cardoza
- Michelle Yvette Cardwell-Monette, AMFT
- Care 1St Primary and Urgent Care Center - Lancaster
- Carenet Women'S Resource Center of North County
- Aomori Betzabe Carias
- Caring Home Cottage
- Caring Nursing Homehealth Agency PC
- Tonya Carline
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.