Organization Active NPI

Sha Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1093349318
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHA HOME HEALTH CARE, INC.
Practice address
1915 W Glenoaks Blvd Ste 202
Glendale, CA 91201-4388
Phone
(747) 231-3550
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Vahagn Akilyan
Title
Ceo
Phone
(747) 231-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1915 W Glenoaks Blvd Ste 202
Glendale, CA 91201-4388

Mailing address

1915 W Glenoaks Blvd Ste 202
Glendale, CA 91201-4388
Phone (747) 231-3550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200619001484 CA Part A Provider - Home Health Agency 8325460397 Practice locations: Glendale, CA

Home health agency certification: CCN 559371

Legal name
SHA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 12, 2020
Last certification
Sep 12, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 24, 2020 in CA
Enrollment address
1915 W Glenoaks Blvd
Ste 202
Glendale, CA 91201-4388

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sha Home Health Care IncCCN 559371 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 12, 2020
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

1915 W Glenoaks Blvd
Ste 202
Glendale, CA 91201
Phone (747) 231-3550

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Vahagn Akliyan Individual 5% Or Greater Direct Ownership InterestCeo Jan 24, 2020 100%
Corporate OfficerCeo-Chairman of Board Jan 24, 2020 100%
Corporate DirectorCeo Jan 24, 2020 100%
W-2 Managing EmployeeCeo Jan 24, 2020 100%
Operational/Managerial ControlCeo Jan 24, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1093349318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W GLENOAKS BLVD STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014388",
            "telephone_number": "747-231-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W GLENOAKS BLVD STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014388",
            "telephone_number": "747-231-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "AKILYAN",
        "authorized_official_first_name": "VAHAGN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-231-3550"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.