Organization Active NPI

Metro Home Care, Inc.

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1114924057
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000965 Issued in CA
Legal business name
METRO HOME CARE, INC.
Practice address
18531 Roscoe Blvd
#214
Northridge, CA 91324-5444
Phone
(818) 709-2277
Fax
(818) 709-2272
NPI assigned
Jul 7, 2005
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Vic Soghomonian
Title
Administrator
Phone
(818) 709-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000965 CA Primary

Addresses

Primary practice location

18531 Roscoe Blvd
#214
Northridge, CA 91324-5444

Mailing address

16800 Devonshire St.
Ste 205
Granada Hills, CA 91344-7409
Phone (818) 709-2277

Other identifiers 1

IdentifierTypeStateIssuer
HHA-57618FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080322000004 CA Part A Provider - Home Health Agency 9133205792 Practice locations: Granada Hills, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114924057. Details of each certification follow.

Home health agency certification: CCN 557618

Legal name
METRO HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 1, 1995
Last certification
Nov 17, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
16800 Devonshire St
Ste 205
Granada Hills, CA 91344-7409

Care Compare: Home health agency

Medicare Care Compare
Listed as
Metro Home Care, IncCCN 557618 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 1, 1995
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
05D0928688Metro Home Care Inc16800 Devonshire St Ste 205, Granada Hills, CA 91344Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Locations

7018 Owensmouth Ave
Ste 201
Canoga Park, CA 91303
Phone (818) 709-2277

16800 Devonshire St
Ste 205
Granada Hills, CA 91344
Phone (818) 709-2277

18531 Roscoe Blvd
Ste 214
Northridge, CA 91324
Phone (818) 709-2277

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.

NameRoleSinceShare
Shahul N Habib Individual 5% Or Greater Direct Ownership Interest Dec 31, 2025 50%
Corporate Officer Dec 31, 2025 50%
W-2 Managing Employee Dec 31, 2025 50%
Michael a. Dimaguila Individual 5% Or Greater Direct Ownership Interest Dec 31, 2025 50%
Corporate Officer Dec 31, 2025 50%
W-2 Managing EmployeeAd; Dec 31, 2025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1114924057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 DEVONSHIRE ST.",
            "address_2": "STE 205",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447409",
            "telephone_number": "818-709-2277",
            "fax_number": "818-709-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD",
            "address_2": "#214",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245444",
            "telephone_number": "818-709-2277",
            "fax_number": "818-709-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "SOGHOMONIAN",
        "authorized_official_first_name": "VIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-709-2277"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA-57618F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.