Organization Active NPI

Gabone Home Health

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1134899859
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GABONE HOME HEALTH
Practice address
15206 Ventura Blvd Ste 206
Sherman Oaks, CA 91403-3360
Phone
(818) 237-3003
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Tirgran Airapetian
Title
Ceo
Phone
(818) 237-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15206 Ventura Blvd Ste 206
Sherman Oaks, CA 91403-3360

Mailing address

15206 Ventura Blvd Ste 206
Sherman Oaks, CA 91403-3360
Phone (818) 237-3003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230525001073 CA Part A Provider - Home Health Agency 3375913718 Practice locations: Sherman Oaks, CA

Home health agency certification: CCN 757648

Legal name
GABONE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 31, 2024
Last certification
Jan 26, 2024
Organization structure
CorporationProprietary
Incorporated
Aug 27, 2021 in CA
Enrollment address
15206 Ventura Blvd
Ste 206
Sherman Oaks, CA 91403-3360

Care Compare: Home health agency

Medicare Care Compare
Listed as
Gabone Home HealthCCN 757648
Ownership
-
Certified
Jan 31, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

15206 Ventura Blvd
Ste 206
Sherman Oaks, CA 91403
Phone (818) 237-3003

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
Tirgran Airapetian Individual 5% Or Greater Direct Ownership Interest Aug 27, 2021 100%
Corporate OfficerCeo/President/Cfo/Secretary/Boar Aug 27, 2021 100%
Corporate DirectorCeo/President/Cfo/Secretary/Boar Aug 27, 2021 100%
W-2 Managing EmployeeCeo/President/Cfo/Secretary/Boar Aug 27, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1134899859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15206 VENTURA BLVD STE 206",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033360",
            "telephone_number": "818-237-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15206 VENTURA BLVD STE 206",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033360",
            "telephone_number": "818-237-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABONE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "AIRAPETIAN",
        "authorized_official_first_name": "TIRGRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-237-3003"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.