Med-Life Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MED-LIFE HOME HEALTH, INC.

Practice address

1701 W Burbank Blvd
Suite 203
Burbank, CA 91506-1323

Phone

(818) 300-8005

NPI assigned

Mar 11, 2014

Last updated

Mar 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Suzanna Danielyan

Title

Ceo/Administrator

Phone

(818) 300-8005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992121271. Details of each certification follow.

• CCN 053117 Home health agency · Active · Details

Home health agency certification: CCN 053117

Legal name

MED-LIFE HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 16, 2017

Last certification

Jun 17, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 10, 2014 in CA

Enrollment address

1701W Burbank Blvd 203
Burbank, CA 91506-1323
HHA Branch

Listed as

Med-Life Home Health, IncCCN 053117 · 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 2

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

Affiliated clinicians 2

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

• Gary Austin Grimes, MD

  • Family Medicine Physician
  • Palmdale, CA
  • NPI 1922172089

  Home health agency

  Care Compare affiliation
• Leonel Martinez, MD

  • Family Medicine Physician
  • San Fernando, CA
  • NPI 1194287367

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1992121271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W BURBANK BLVD",
            "address_2": "SUITE 203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061323",
            "telephone_number": "818-300-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W BURBANK BLVD",
            "address_2": "SUITE 203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061323",
            "telephone_number": "818-300-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-LIFE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "DANIELYAN",
        "authorized_official_first_name": "SUZANNA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-300-8005",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Burbank, CA
• Providers in Burbank, 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 Mar 11, 2014; 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.