Organization Active NPI

Shore Line Home Health, Inc.

  • Home Health Agency
  • Mission Hills, CA
National Provider Identifier
1124626569
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHORE LINE HOME HEALTH, INC.
Practice address
10640 Sepulveda Blvd Unit 1
Mission Hills, CA 91345-1919
Phone
(747) 217-1839
NPI assigned
Oct 16, 2020
Organization subpart
Yes
Parent organization
HOVSEPYAN INVESTMENTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Hovig John Nargizian
Title
Ceo
Phone
(747) 217-1839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10640 Sepulveda Blvd Unit 1
Mission Hills, CA 91345-1919

Mailing address

10640 Sepulveda Blvd Unit 1
Mission Hills, CA 91345-1919
Phone (747) 217-1839

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214001110 CA Part A Provider - Home Health Agency 2062824113 Practice locations: Mission Hills, CA

Home health agency certification: CCN 757128

Legal name
SHORE LINE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 9, 2022
Last certification
Aug 9, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 24, 2020 in CA
Enrollment address
10640 Sepulveda Blvd
Unit 1
Mission Hills, CA 91345-1919
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Shore Line Home Health, Inc.CCN 757128
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 9, 2022
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
05D2312136Shore Line Home Health, Inc10640 Sepulveda Blvd, Unit 1, Mission Hills, CA 91345Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

6740 Kester Ave
Ste 204D
Van Nuys, CA 91405
Phone (818) 457-6514

13615 Victory Blvd
Ste 221
Van Nuys, CA 91401
Phone (747) 217-1839

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hovsepyan Investments, Inc. Organization, Mission Hills, CA Corporation 5% Or Greater Direct Ownership Interest Aug 31, 2020 100%
Gurgen Hovsepyan Individual 5% Or Greater Indirect Ownership Interest Apr 25, 2024 51%
W-2 Managing Employee51 % Indirect Owner Apr 25, 2024 51%
Hovig Nargizian Individual Contracted Managing EmployeeCeo/Cfo/Secretary/49% Owner Apr 25, 2024 49%
5% Or Greater Indirect Ownership Interest Apr 25, 2024 49%
Corporate OfficerCeo/Cfo/Secretary/49% Owner Apr 25, 2024 49%
Corporate DirectorCeo/Cfo/Secretary/49% Owner Apr 25, 2024 49%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1124626569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 SEPULVEDA BLVD UNIT 1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451919",
            "telephone_number": "747-217-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 SEPULVEDA BLVD UNIT 1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451919",
            "telephone_number": "747-217-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE LINE HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOVSEPYAN INVESTMENTS, INC.",
        "enumeration_date": "2020-10-16",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "NARGIZIAN",
        "authorized_official_first_name": "HOVIG",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-217-1839"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.