Organization Active NPI

Lifetime Home Health Care Services, Inc.

  • Home Health Agency
  • Studio City, CA
National Provider Identifier
1124628029
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFETIME HOME HEALTH CARE SERVICES, INC.
Practice address
11350 Ventura Blvd Ste 201
Studio City, CA 91604-3140
Phone
(818) 738-9315
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Aram Asatryan
Title
Ceo
Phone
(818) 738-9315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11350 Ventura Blvd Ste 201
Studio City, CA 91604-3140

Mailing address

11350 Ventura Blvd Ste 201
Studio City, CA 91604-3140
Phone (818) 738-9315

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210909000725 CA Part A Provider - Home Health Agency 6406252923 Practice locations: Studio City, CA

Home health agency certification: CCN 559685

Legal name
LIFETIME HOME HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 15, 2021
Last certification
Dec 15, 2021
Organization structure
CorporationProprietary
Incorporated
Aug 18, 2020 in CA
Enrollment address
11350 Ventura Blvd
Ste 201
Studio City, CA 91604-3140

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lifetime Home Health Care Services, Inc.CCN 559685
Overall star rating
3 of 5
Ownership
-
Certified
Dec 15, 2021
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
05D2274874Lifetime Home Health Care Services, Inc11350 Ventura Blvd Suite 201, Studio City, CA 91604Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

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
Aram Asatryan Individual 5% Or Greater Direct Ownership InterestCeo Jun 1, 2024 51%
Corporate OfficerCeo Jun 1, 2024
Corporate DirectorCeo Jun 1, 2024
W-2 Managing EmployeeCeo Jun 1, 2024
Randa Hazboun Individual 5% Or Greater Direct Ownership InterestCfo Jun 1, 2024 24.5%
W-2 Managing EmployeeCfo Jun 1, 2024 24.5%
Harout Demirchyan Individual 5% Or Greater Direct Ownership InterestSecretary Jun 1, 2024 24.5%
W-2 Managing EmployeeSecretary Jun 1, 2024 24.5%

Practitioners & affiliated clinicians

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": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1124628029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 VENTURA BLVD STE 201",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043140",
            "telephone_number": "818-738-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 VENTURA BLVD STE 201",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043140",
            "telephone_number": "818-738-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "ASATRYAN",
        "authorized_official_first_name": "ARAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-738-9315"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.