NPIMap

Organization Active NPI

Infinity Healthcare Solutions Inc

  • Home Health Agency
  • Granada Hills, CA
National Provider Identifier
1073745170
Registry record updated Aug 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INFINITY HEALTHCARE SOLUTIONS INC
Practice address
10646 Zelzah Ave Ste 207
Granada Hills, CA 91344-5959
Phone
(818) 831-2121
Fax
(877) 354-3829
NPI assigned
Aug 22, 2009
Last updated
Aug 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2009

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

Authorized official

Name
Ma Lorna C Rodriguez
Title
Administrator
Phone
(818) 831-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10646 Zelzah Ave Ste 207
Granada Hills, CA 91344-5959

Mailing address

10646 Zelzah Ave Ste 207
Granada Hills, CA 91344-5959
Phone (818) 831-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171027000687 CA Part A Provider - Home Health Agency 2860684339 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073745170. Details of each certification follow.

Home health agency certification: CCN 053196

Legal name
INFINITY HEALTHCARE SOLUTIONS INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 1, 2018
Last certification
Jun 25, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 4, 2006 in CA
Enrollment address
14550 Archwood St
Ste 107
Van Nuys, CA 91405-4604

Care Compare: Home health agency

Medicare Care Compare
Listed as
Infinity Healthcare Solutions, IncCCN 053196 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
May 1, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

10646 Zelzah Ave
Ste 207
Granada Hills, CA 91344
Phone (818) 356-4327

14550 Archwood St
Ste 107
Van Nuys, CA 91405
Phone (818) 831-2121

7220 Woodman Ave
Ste 202
Van Nuys, CA 91405
Phone (818) 831-2121

Ownership & 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.

NameRoleSinceShare
Sona Avedisyan Individual 5% Or Greater Direct Ownership InterestPresident/Secretary/Board Member Mar 31, 2017 51%
Corporate OfficerPresident/Secretary/Board Member Mar 31, 2017 51%
Corporate DirectorPresident/Secretary/Board Member Mar 31, 2017 51%
W-2 Managing EmployeePresident/Secretary/Board Member Mar 31, 2017
Nellie Sarkisyan Individual 5% Or Greater Direct Ownership InterestCfo/Board Member Mar 31, 2017 49%
Corporate OfficerCfo/Board Member Mar 31, 2017 49%
Corporate DirectorCfo/Board Member Mar 31, 2017 49%
W-2 Managing EmployeeCfo/Board Member Mar 31, 2017 49%

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1250899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250899200000",
    "number": "1073745170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10646 ZELZAH AVE STE 207",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445959",
            "telephone_number": "818-831-2121",
            "fax_number": "877-354-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10646 ZELZAH AVE STE 207",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445959",
            "telephone_number": "818-831-2121",
            "fax_number": "877-354-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HEALTHCARE SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-22",
        "last_updated": "2009-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MA LORNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-831-2121"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.