Active NPI
Vita Home Health Care, Inc
- Home Health Agency
- Simi Valley, CA
National Provider Identifier
1023773256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- VITA HOME HEALTH CARE, INC
- Practice address
- 2139 Tapo St Ste 214
Simi Valley, CA 93063-3476 - Phone
- (805) 424-1010
- Fax
- (805) 424-5832
- NPI assigned
- Nov 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarkis Kesoyan
- Title
- Cfo / Secretary
- Phone
- (805) 424-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2139 Tapo St Ste 214
Simi Valley, CA 93063-3476
Mailing address
2139 Tapo St Ste 214
Simi Valley, CA 93063-3476
Phone (805) 424-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230823000952 | CA | Part A Provider - Home Health Agency | 3173986221 | Practice locations: Simi Valley, CA |
Home health agency certification: CCN 757985
- Legal name
- VITA HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 22, 2025
- Last certification
- Mar 14, 2025
- Organization structure
- Corporation
- Enrollment address
- 2139 Tapo St
Ste 214
Simi Valley, CA 93063-3476
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Vita Home Health Care, Inc
- Ownership
- -
- Certified
- Apr 22, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Arman Danielian | 5% Or Greater Direct Ownership Interest | Sep 17, 2021 | 50% |
| Corporate Officer | Sep 17, 2021 | 50% | |
| Corporate Director | Sep 17, 2021 | 50% | |
| W-2 Managing Employee | Sep 17, 2021 | ||
| Vahan Sargsyan | 5% Or Greater Direct Ownership Interest | Sep 17, 2021 | 50% |
| Corporate Officer | Sep 17, 2021 | 50% | |
| Corporate Director | Sep 17, 2021 | 50% | |
| W-2 Managing Employee | Sep 17, 2021 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1023773256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 TAPO ST STE 214",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930633476",
"telephone_number": "805-424-1010",
"fax_number": "805-424-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 TAPO ST STE 214",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930633476",
"telephone_number": "805-424-1010",
"fax_number": "805-424-5832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITA HOME HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-02",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "KESOYAN",
"authorized_official_first_name": "SARKIS",
"authorized_official_title_or_position": "CFO / SECRETARY",
"authorized_official_telephone_number": "805-424-1010"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.