Organization Active NPI

Ideal Home Health Inc

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1104597822
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IDEAL HOME HEALTH INC
Practice address
6849 W Charleston Blvd Ste B
Las Vegas, NV 89117-1649
Phone
(702) 863-8502
Fax
(818) 806-3400
NPI assigned
Sep 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Kathy Karamusyan
Title
Ceo
Phone
(818) 435-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6849 W Charleston Blvd Ste B
Las Vegas, NV 89117-1649

Mailing address

6849 W Charleston Blvd Ste B
Las Vegas, NV 89117-1649
Phone (702) 863-8502

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006002169 NV Part A Provider - Home Health Agency 0042618902 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297316

Legal name
IDEAL HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 23, 2022
Last certification
Feb 23, 2022
Organization structure
CorporationProprietary
Enrollment address
6849-B W Charleston Blvd
Las Vegas, NV 89117-1649

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ideal Home Health, LLCCCN 297316
Overall star rating
2.5 of 5
Ownership
-
Certified
Feb 23, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
29D2276921Ideal Home Health, Inc6849 West Charleston Blvd Ste B, Las Vegas, NV 89117Certificate of waiverFeb 15, 2027

National Provider Directory

National Provider Directory

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
Khatun K Karamusyan Individual 5% Or Greater Direct Ownership InterestCeo Aug 1, 2025 100%
Corporate OfficerCeo Aug 1, 2025 100%
Corporate DirectorCeo Aug 1, 2025 100%
W-2 Managing EmployeeCeo Aug 1, 2025 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1104597822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 W CHARLESTON BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171649",
            "telephone_number": "702-863-8502",
            "fax_number": "818-806-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 W CHARLESTON BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171649",
            "telephone_number": "702-863-8502",
            "fax_number": "818-806-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "KARAMUSYAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-435-7777"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.