Eagle Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EAGLE HOME HEALTH

Practice address

6005 Vineland Ave Ste 204
North Hollywood, CA 91606-4984

Phone

(747) 244-7340

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Liana Grigoryan

Title

Ceo

Phone

(818) 927-4039

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559076

Legal name

EAGLE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 4, 2019

Last certification

Oct 4, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

6005 Vineland Ave
Ste 204
North Hollywood, CA 91606-4984

Listed as

Eagle Home HealthCCN 559076

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Oct 4, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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.

Affiliated clinicians 1

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

• Nabil Salloum Feghali, MD

  • Internal Medicine Physician
  • Canoga Park, CA
  • NPI 1982787057

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1992219463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 VINELAND AVE STE 204",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064984",
            "telephone_number": "818-927-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 VINELAND AVE STE 204",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064984",
            "telephone_number": "747-244-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-927-4039"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noemi Margarita Duran
• Luis Eduardo Duvoy
• Lida Duzdabanyan
• Dva Healthcare Renal Care Inc
• Dxlabs Inc
• Megan Indigo Early, MD
• East Los Angeles Health Task Force
• East Valley Hospice, Inc.
• Alyce Ann Easterline, DC
• Easycare Management Inc

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, 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 31, 2021; 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.