Annex Healthcare Providers Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001397 Issued in CA

Legal business name

ANNEX HEALTHCARE PROVIDERS INC

Practice address

22041 Clarendon St Ste 200
Woodland Hills, CA 91367-6147

Phone

(818) 884-8070

Fax

(818) 484-3661

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Felor Bahadori, RN

Title

Administrator

Phone

(818) 509-2661

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058180

Legal name

ANNEX HEALTHCARE PROVIDERS INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 24, 2003

Last certification

Sep 10, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 28, 2001 in CA

Enrollment address

22041 Clarendon St
Ste 200
Woodland Hills, CA 91367-6305
HHA Branch

Listed as

Annex Healthcare Providers, IncCCN 058180 · All quality measures

Ownership

Proprietary

Certified

Apr 24, 2003

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 1

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": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1992799928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22041 CLARENDON ST STE 200",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676147",
            "telephone_number": "818-884-8070",
            "fax_number": "818-484-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22041 CLARENDON ST STE 200",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676147",
            "telephone_number": "818-884-8070",
            "fax_number": "818-484-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNEX HEALTHCARE PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "BAHADORI",
        "authorized_official_first_name": "FELOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-509-2661",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08180F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 Nov 7, 2024; 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.