360 Home Health Agency
NPI 1104220623ActiveOrganization· Home Health· Canoga Park, CA
Home Health in Canoga Park, California, registered in NPPES in October 2014. The authorized official on file is Rafayel Nersisyan, RN, President. Enrolled in Medicare as part a provider - home health agency.
Overview
| NPI | 1104220623 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2014 |
| Last updated in NPPES | Dec 14, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Home Health Primary | 251E00000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Home Health Agency (CA) |
|---|
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All 95 home health agencies in Canoga Park · All home health agencies in California