Organization Active NPI

New Age Home Health Care Inc.

  • Home Health Agency
  • North Hills, CA
National Provider Identifier
1104582956
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEW AGE HOME HEALTH CARE INC.
Practice address
8774 Sepulveda Blvd Ste 7
North Hills, CA 91343-5158
Phone
(747) 529-4013
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Hayk Mirzoyan
Title
Ceo
Phone
(747) 529-4013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8774 Sepulveda Blvd Ste 7
North Hills, CA 91343-5158

Mailing address

8774 Sepulveda Blvd Ste 7
North Hills, CA 91343-5158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240207002388 CA Part A Provider - Home Health Agency 2062882814 Practice locations: North Hills, CA

Home health agency certification: CCN 757950

Legal name
NEW AGE HOME HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 17, 2025
Last certification
Mar 7, 2025
Organization structure
CorporationProprietary
Enrollment address
8774 Sepulveda Blvd
Ste 7
North Hills, CA 91343-5158

Care Compare: Home health agency

Medicare Care Compare
Listed as
New Age Home Health Care Inc.CCN 757950
Ownership
-
Certified
Mar 17, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8774 Sepulveda Blvd
Ste 7
North Hills, CA 91343
Phone (747) 529-4013

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
Hayk Mirzoyan Individual 5% Or Greater Direct Ownership Interest Aug 24, 2021 100%
Corporate OfficerCeo/President/Cfo/Secretary/Boar Aug 24, 2021 100%
Corporate DirectorCeo/President/Cfo/Secretary/Boar Aug 24, 2021 100%
W-2 Managing EmployeeCeo/President/Cfo/Secretary/B Aug 24, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1104582956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8774 SEPULVEDA BLVD STE 7",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8774 SEPULVEDA BLVD STE 7",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435158",
            "telephone_number": "747-529-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "MIRZOYAN",
        "authorized_official_first_name": "HAYK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-529-4013"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

Verify at the official NPI Registry.