Skilled A1 Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SKILLED A1 HOME HEALTH INC.

Practice address

14664 Victory Blvd Ste 105
Van Nuys, CA 91411-1621

Phone

(818) 305-5352

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Hrayr Yanikyan

Title

Owner

Phone

(818) 305-5352

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757083

Legal name

SKILLED A1 HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 20, 2022

Last certification

Dec 20, 2022

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

4250 Pennsylvania Ave
Unit 102
La Crescenta, CA 91214-3369

Listed as

Skilled A1 Home Health Inc.CCN 757083

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Dec 20, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nicola Faris Azar, M.D.

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1922259787

  Home health agency

  Care Compare affiliation
• Hrair E Darakjian, MED

  • Specialist
  • Valencia, CA
  • NPI 1447274972

  Home health agency

  Care Compare affiliation
• Marcil M Mamita, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Torrance, CA
  • NPI 1962412718

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1124633300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14664 VICTORY BLVD STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "818-305-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14664 VICTORY BLVD STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "818-305-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED A1 HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "YANIKYAN",
        "authorized_official_first_name": "HRAYR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-305-5352"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sirona Home Health Care
• Joshua Michael Siskin
• Six Harmony Home Health Care Inc
• Six Harmony Hospice Care, Inc.
• SK Friendly Home Care Inc
• SKK Heritage, Inc.
• Skyline Home Health Care, Inc.
• Skyline Hospice Care, Inc
• SL Rouff MD AMC & SS Silberstein MD AMC
• Robert Slatkin

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.

Verify at the official NPI Registry.