Active NPI
American Standard Home Health
- Home Health Agency
- Tarzana, CA
National Provider Identifier
1104582550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AMERICAN STANDARD HOME HEALTH
- Practice address
- 19634 Ventura Blvd Ste 223
Tarzana, CA 91356-2966 - Phone
- (818) 660-0063
- Fax
- (818) 660-0012
- NPI assigned
- Nov 10, 2021
- 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
- Mr. Edgar Kolozyan
- Title
- Ceo
- Phone
- (818) 660-0063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
19634 Ventura Blvd Ste 223
Tarzana, CA 91356-2966
Mailing address
19634 Ventura Blvd Ste 223
Tarzana, CA 91356-2966
Phone (818) 660-0063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231130000920 | CA | Part A Provider - Home Health Agency | 6204293434 | Practice locations: Canoga Park, CA |
Home health agency certification: CCN 757556
- Legal name
- AMERICAN STANDARD HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 7, 2023
- Last certification
- Sep 27, 2023
- Organization structure
- Corporation
- Incorporated
- Jul 27, 2021 in CA
- Enrollment address
- 7335 Topanga Canyon Blvd
Ste 202
Canoga Park, CA 91303-3393
Care Compare: Home health agency
Medicare Care Compare- Listed as
- American Standard Home Health
- Ownership
- -
- Certified
- Oct 7, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
7335 Topanga Canyon Blvd
Ste 202
Canoga Park, CA 91303
Phone (747) 249-3502
19634 Ventura Blvd
Ste 223
Tarzana, CA 91356
Phone (818) 660-0063
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ivan Lou Doneza | W-2 Managing Employee | Jul 27, 2021 | |
| Edgar Kolozyan | 5% Or Greater Direct Ownership Interest | Jul 27, 2021 | 100% |
| Corporate Officer | Jul 27, 2021 | 100% | |
| Corporate Director | Jul 27, 2021 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1104582550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19634 VENTURA BLVD STE 223",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562966",
"telephone_number": "818-660-0063",
"fax_number": "818-660-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19634 VENTURA BLVD STE 223",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562966",
"telephone_number": "818-660-0063",
"fax_number": "818-660-0012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN STANDARD HOME HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-10",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "KOLOZYAN",
"authorized_official_first_name": "EDGAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-660-0063",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.