Organization Active NPI

Humane Home Health, Inc.

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1083269864
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HUMANE HOME HEALTH, INC.
Practice address
13701 Riverside Dr Ste 600
Sherman Oaks, CA 91423-2449
Phone
(818) 465-8474
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Kristina Petrosyan
Title
Ceo
Phone
(818) 465-8474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13701 Riverside Dr Ste 600
Sherman Oaks, CA 91423-2449

Mailing address

13701 Riverside Dr Ste 600
Sherman Oaks, CA 91423-2449
Phone (818) 465-8474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210222001887 CA Part A Provider - Home Health Agency 9234562323 Practice locations: Sherman Oaks, CA

Home health agency certification: CCN 559553

Legal name
HUMANE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 9, 2021
Last certification
Jul 9, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 2, 2019 in CA
Enrollment address
13701 Riverside Dr
Ste 600
Sherman Oaks, CA 91423-2449

Care Compare: Home health agency

Medicare Care Compare
Listed as
Humane Home Health, IncCCN 559553 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 9, 2021
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

13701 Riverside Dr
Ste 600
Sherman Oaks, CA 91423
Phone (818) 465-8474

14545 Friar St
Ste 158
Van Nuys, CA 91411
Phone (818) 645-8474

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Mapa-M Group, Inc. Organization, Sherman Oaks, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Oct 9, 2020 100%
Kristina Petrosyan Individual 5% Or Greater Indirect Ownership InterestCeo/Cfo/Secretary Apr 1, 2024 49%
Corporate OfficerCeo/Cfo/Secretary Apr 1, 2024 49%
Corporate DirectorCeo/Cfo/Seceratry Apr 1, 2024 49%
W-2 Managing EmployeeCeo/Cfo/Secretary Apr 1, 2024 49%
Nonna Petrosyan Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2024 51%

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1083269864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 RIVERSIDE DR STE 600",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232449",
            "telephone_number": "818-465-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 RIVERSIDE DR STE 600",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232449",
            "telephone_number": "818-465-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-465-8474"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.