Organization Active NPI

Oxy Home Health Services Inc

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1124693726
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OXY HOME HEALTH SERVICES INC
Practice address
18325 Sherman Way., Suite C
Reseda, CA 91335
Phone
(818) 600-8144
Fax
(818) 671-4465
NPI assigned
May 25, 2021
Last updated
May 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Araksi Martirosyan
Title
Ceo
Phone
(818) 600-8144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18325 Sherman Way., Suite C
Reseda, CA 91335

Mailing address

18325 Sherman Way., Suite C
Reseda, CA 91335
Phone (818) 600-8144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220825002693 CA Part A Provider - Home Health Agency 0840674826 Practice locations: Reseda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124693726. Details of each certification follow.

Home health agency certification: CCN 757349

Legal name
OXY HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 18, 2023
Last certification
Aug 18, 2023
Organization structure
CorporationProprietary
Incorporated
Apr 1, 2021 in CA
Enrollment address
18325 Sherman Way
Ste C
Reseda, CA 91335-4425

Care Compare: Home health agency

Medicare Care Compare
Listed as
Oxy Home Health Services IncCCN 757349 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Aug 18, 2023
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
05D2310753Oxy Home Health Services, Inc18325 Sherman Way Ste C, Reseda, CA 91335Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

Locations

18325 Sherman Way
Ste C
Reseda, CA 91335
Phone (818) 600-8144

Ownership & related parties

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.

NameRoleSinceShare
Araksi Martirosyan Individual 5% Or Greater Direct Ownership InterestCeo Apr 1, 2021 100%
Corporate OfficerCeo Apr 1, 2021 100%
Corporate DirectorCeo Apr 1, 2021 100%
W-2 Managing EmployeeCeo Apr 1, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1124693726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 SHERMAN WAY., SUITE C",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-600-8144",
            "fax_number": "818-671-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 SHERMAN WAY., SUITE C",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-600-8144",
            "fax_number": "818-671-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXY HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "MARTIROSYAN",
        "authorized_official_first_name": "ARAKSI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-600-8144"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.