Organization Active NPI

Assurity Home Health

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1013646272
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASSURITY HOME HEALTH
Practice address
14640 Victory Blvd Ste 212
Van Nuys, CA 91411-1623
Phone
(424) 363-4420
NPI assigned
Jun 5, 2022
Last updated
Jun 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Authorized official

Name
Armine Poghosyan
Title
Ceo
Phone
(424) 363-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

14640 Victory Blvd Ste 212
Van Nuys, CA 91411-1623

Mailing address

14640 Victory Blvd Ste 212
Van Nuys, CA 91411-1623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907001528 CA Part A Provider - Home Health Agency 1052795291 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013646272. Details of each certification follow.

Home health agency certification: CCN 757781

Legal name
ASSURITY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 12, 2024
Last certification
Nov 12, 2024
Organization structure
CorporationProprietary
Enrollment address
14640 Victory Blvd
Ste 212
Van Nuys, CA 91411-1623

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assurity Home HealthCCN 757781 · All quality measures
Ownership
-
Certified
Nov 12, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14640 Victory Blvd
Ste 212
Van Nuys, CA 91411
Phone (424) 363-4420

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Assurity Med Group Organization, Van Nuys, CA Created for acquisition, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 25, 2025 51%
Arevik Mesropyan Individual W-2 Managing EmployeeAd;DPCS Feb 25, 2025
Armine Poghosyan Individual 5% Or Greater Indirect Ownership Interest Feb 25, 2025 51%
Corporate OfficerCeo / Cfo / Secretary May 12, 2022 100%
Corporate DirectorCeo / Cfo / Secretary May 12, 2022 100%
W-2 Managing EmployeeCeo / Cfo / Secretary May 12, 2022 100%
Tereza Arshakyan Individual 5% Or Greater Direct Ownership Interest Feb 25, 2025 24%
Corporate OfficerCfo Feb 25, 2025 50%
Corporate DirectorCfo Feb 25, 2025 50%
W-2 Managing EmployeeCfo Feb 25, 2025 50%
Tigran Abeghyan Individual 5% Or Greater Direct Ownership Interest Feb 25, 2025 25%
Corporate OfficerCeo/Secretary Feb 25, 2025 50%
Corporate DirectorCeo/Secretary Feb 25, 2025 50%
W-2 Managing EmployeeCeo/Secretary Feb 25, 2025
Metaksya Shahverdyan Individual W-2 Managing EmployeeAdministrator Designeed/DPCS Design Feb 25, 2025

NPI Registry JSON

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1013646272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD STE 212",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD STE 212",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "424-363-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURITY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "POGHOSYAN",
        "authorized_official_first_name": "ARMINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-363-4420"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.