Organization Active NPI

Louise Home Health Care Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1982288072
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOUISE HOME HEALTH CARE INC
Practice address
225 E Broadway Ste B101A
Glendale, CA 91205-1008
Phone
(747) 297-4007
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Stepan Nersisyan
Title
Ceo
Phone
(747) 297-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

225 E Broadway Ste B101A
Glendale, CA 91205-1008

Mailing address

225 E Broadway Ste B101A
Glendale, CA 91205-1008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210629002606 CA Part A Provider - Home Health Agency 0446651301 Practice locations: Huntington Beach, CA

Home health agency certification: CCN 753124

Legal name
LOUISE HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 11, 2022
Last certification
May 11, 2022
Organization structure
CorporationProprietary
Incorporated
Apr 9, 2021 in CA
Enrollment address
16541 Gothard St
Ste 106
Huntington Beach, CA 92647-4472

Care Compare: Home health agency

Medicare Care Compare
Listed as
Louise Home Health Care, Inc.CCN 753124
Overall star rating
2 of 5
Ownership
-
Certified
May 11, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

225 E Broadway
Ste B101A
Glendale, CA 91205
Phone (747) 297-4007

16541 Gothard St
Ste 106
Huntington Beach, CA 92647
Phone (657) 204-9255

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vinh Buu Individual 5% Or Greater Indirect Ownership Interest Nov 2, 2022 100%
Corporate OfficerCeo/Cfo/Secretary Nov 2, 2022 100%
Corporate DirectorCeo/Cfo/Secretary Nov 2, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Nov 2, 2022 100%
Louise Holdings Inc Organization, Glendale, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Apr 9, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1982288072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE B101A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE B101A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "747-297-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "NERSISYAN",
        "authorized_official_first_name": "STEPAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-297-4007"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.