Active NPI
Metro Home Care, Inc.
- Home Health Agency
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980000965
- 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, 2024
- 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
- Vic Soghomonian
- Title
- Administrator
- Phone
- (818) 709-2277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA-57618F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 1, 1995
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0928688 | Metro Home Care Inc | Certificate of waiver | May 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Shahul N Habib | 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 | 5% Or Greater Direct Ownership Interest | Dec 31, 2025 | 50% |
| Corporate Officer | Dec 31, 2025 | 50% | |
| W-2 Managing Employee | 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.
-
- Behavior Analyst
- Encino, CA
- NPI 1942936869
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Mission Hills, CA
- NPI 1700941788
Home health agency
-
- Internal Medicine Physician
- Panorama City, CA
- NPI 1215039631
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.