NPIMap

Organization Active NPI

R&a Home Health Services Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1992831176
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000285 Issued in CA
Legal business name
R&A HOME HEALTH SERVICES INC.
Practice address
600 W Broadway Ste 210
Glendale, CA 91204-1024
Phone
(818) 956-8888
Fax
(818) 956-0706
NPI assigned
Feb 24, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Alen Mousaian
Title
Ceo
Phone
(818) 831-1113

Affiliated clinicians 12

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
R & a Home Health Services, IncCCN 058387
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 23, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1050905R & a Home Health Services Inc600 W Broadway Ste 210, Glendale, CA 91204Certificate of waiverJul 31, 2027

Medicare participation

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

Home health agency certification: CCN 058387

Medicare enrollment files
Legal name
R&A HOME HEALTH SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 23, 2007
Last certification
Feb 28, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
600 W Broadway
Ste 210
Glendale, CA 91204-1024

All disclosed owners & managing parties 3

Medicare enrollment files

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

NameRoleSinceShare
Alina Mousaian Individual W-2 Managing Employee Jan 1, 2012
Andreh Mousaian Individual 5% Or Greater Direct Ownership InterestSecretary and Cfo Nov 23, 2003 50%
Corporate OfficerSecretary and Cfo Nov 23, 2003 50%
Corporate DirectorSecretary and Cfo Nov 23, 2003 50%
Alen Mousaian Individual 5% Or Greater Direct Ownership InterestPresident Ceo Oct 23, 2003 50%
Corporate OfficerSecretary and Cfo Oct 23, 2003 50%
Corporate DirectorSecretary and Cfo Oct 23, 2003 50%

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040526000523 CA Part a Provider - Home Health Agency 9335120328 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

600 W Broadway
Ste 210
Glendale, CA 91204
Phone (818) 956-8888

10515 Balboa Blvd
Ste 385
Granada Hills, CA 91344
Phone (818) 831-1113

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000285 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

600 W Broadway Ste 210
Glendale, CA 91204-1024

Mailing address

600 W Broadway Ste 210
Glendale, CA 91204-1024
Phone (818) 956-8888

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2008.

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1992831176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY STE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041024",
            "telephone_number": "818-956-8888",
            "fax_number": "818-956-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY STE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041024",
            "telephone_number": "818-956-8888",
            "fax_number": "818-956-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&A HOME HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "MOUSAIAN",
        "authorized_official_first_name": "ALEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-831-1113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.