Lira Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIRA HOME HEALTH, INC.

Practice address

8111 Beverly Blvd
Suite 208
Los Angeles, CA 90048-4525

Phone

(323) 782-1815

Fax

(323) 782-1355

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Boris Maximov

Title

Administrator

Phone

(323) 782-1815

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059096

Legal name

LIRA HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 23, 2009

Last certification

Aug 17, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 21, 2007 in CA

Enrollment address

6767 Forest Lawn Dr
Ste 215
Los Angeles, CA 90068-1051

Listed as

Lira Home Health, IncCCN 059096

Ownership

Proprietary

Certified

Sep 23, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

All disclosed owners & managing parties 3

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1982829198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 BEVERLY BLVD",
            "address_2": "SUITE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484525",
            "telephone_number": "323-782-1815",
            "fax_number": "323-782-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 BEVERLY BLVD",
            "address_2": "SUITE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484525",
            "telephone_number": "323-782-1815",
            "fax_number": "323-782-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIRA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "MAXIMOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-782-1815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lipstone, MS, LMFT
• Rachel Renee Liptak, PSY.D.
• Lisa Lipton, LMFT PSY.D
• Marc Lipton
• Tanya Liquidano
• Lira Hospice, Inc.
• Angela Carmen-Pacheco Lira
• Arlene Kathy Lira
• Claudia Lira, LCSW
• Jasmine Lira

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 8, 2010; 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.