Organization Active NPI

Oak View HHA LLC

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1104385582
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OAK VIEW HHA LLC
Practice address
1345 E Colorado St
Glendale, CA 91205-1462
Phone
(818) 696-2525
Fax
(818) 476-7474
NPI assigned
Mar 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Authorized official

Name
Marat Arutunyan
Title
Maneging Member
Phone
(818) 442-2686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1345 E Colorado St
Glendale, CA 91205-1462

Mailing address

1345 E Colorado St
Glendale, CA 91205-1462
Phone (818) 696-2525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191213000130 CA Part A Provider - Home Health Agency 6103259601 Practice locations: Glendale, CA

Home health agency certification: CCN 559267

Legal name
OAK VIEW HHA LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 19, 2020
Last certification
May 19, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1100 E Broadway
Ste 305
Glendale, CA 91205-4641

Care Compare: Home health agency

Medicare Care Compare
Listed as
Oak View HHA LLCCCN 559267
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 19, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2284328Oak View HHA LLC1100 E Broadway Unit 305, Glendale, CA 91205Certificate of waiverJun 20, 2027

National Provider Directory

National Provider Directory

Locations

1100 E Broadway
Ste 305
Glendale, CA 91205
Phone (818) 696-2525

1345 E Colorado St
Glendale, CA 91205
Phone (818) 696-2525

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
Katrine Karapetyan Individual 5% Or Greater Direct Ownership Interest Mar 2, 2019 100%
Corporate OfficerCeo - Chairman of Board Mar 2, 2019 100%
Corporate DirectorCeo Mar 2, 2019 100%
W-2 Managing Employee Mar 2, 2019 100%
Operational/Managerial ControlCeo Mar 2, 2019 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": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1104385582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051462",
            "telephone_number": "818-696-2525",
            "fax_number": "818-476-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051462",
            "telephone_number": "818-696-2525",
            "fax_number": "818-476-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK VIEW HHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "ARUTUNYAN",
        "authorized_official_first_name": "MARAT",
        "authorized_official_title_or_position": "MANEGING MEMBER",
        "authorized_official_telephone_number": "818-442-2686"
    },
    "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.