Active NPI
Izar Inc.
- Home Health Agency
- Reseda, CA
National Provider Identifier
1093295248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- IZAR INC.
- Practice address
- 18325 Sherman Way
Suite B
Reseda, CA 91335 - Phone
- (818) 302-3415
- Fax
- (818) 450-0500
- NPI assigned
- Aug 17, 2018
- 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
- Artak V Saakian
- Title
- Ceo
- Phone
- (818) 302-3415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
18325 Sherman Way
Suite B
Reseda, CA 91335
Mailing address
18325 Sherman Way
Suite B
Reseda, CA 91335
Phone (818) 302-3415
Other names 1
- IZAR HOME HEALTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230217000365 | CA | Part A Provider - Home Health Agency | 7012240732 | Practice locations: Reseda, CA |
Home health agency certification: CCN 757585
- Legal name
- IZAR INC
- Doing business as
- REVIVE HOME HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 20, 2024
- Last certification
- Mar 14, 2024
- Organization structure
- Corporation
- Incorporated
- Apr 27, 2018 in CA
- Enrollment address
- 18325 Sherman Way
Ste B
Reseda, CA 91335-4425
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Revive Home Health Services
- Ownership
- -
- Certified
- Mar 20, 2024
- 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 |
|---|---|---|---|
| Artak Saakian | 5% Or Greater Direct Ownership Interest | Dec 6, 2022 | 50% |
| Corporate Officer | Dec 6, 2022 | 50% | |
| Corporate Director | Dec 6, 2022 | 50% | |
| W-2 Managing Employee | Dec 6, 2022 | 50% | |
| Arthur Sahakyan | 5% Or Greater Direct Ownership Interest | Dec 6, 2022 | 50% |
| Corporate Officer | Dec 6, 2022 | 50% | |
| Corporate Director | Dec 6, 2022 | 50% | |
| W-2 Managing Employee | Dec 6, 2022 | 50% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Chatsworth, CA
- NPI 1962236257
-
- Psychiatric/Mental Health Nurse Practitioner
- Fremont, CA
- NPI 1477302305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1093295248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18325 SHERMAN WAY",
"address_2": "SUITE B",
"city": "RESEDA",
"state": "CA",
"postal_code": "91335",
"telephone_number": "818-302-3415",
"fax_number": "818-450-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18325 SHERMAN WAY",
"address_2": "SUITE B",
"city": "RESEDA",
"state": "CA",
"postal_code": "91335",
"telephone_number": "818-302-3415",
"fax_number": "818-450-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IZAR INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-17",
"last_updated": "2022-11-28",
"certification_date": "2022-11-21",
"status": "A",
"authorized_official_last_name": "SAAKIAN",
"authorized_official_first_name": "ARTAK",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-302-3415"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IZAR HOME HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.