Organization Active NPI

LLB Home Healthcare Inc

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1154079218
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LLB HOME HEALTHCARE INC
Practice address
12444 Victory Blvd Ste 411-J
North Hollywood, CA 91606-3199
Phone
(747) 977-3979
Fax
(747) 977-3980
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Levon Baghdasaryan
Title
Ceo,Cfo,Secretary
Phone
(747) 977-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12444 Victory Blvd Ste 411-J
North Hollywood, CA 91606-3199

Mailing address

12444 Victory Blvd Ste 411-J
North Hollywood, CA 91606-3199
Phone (747) 977-3979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240307003421 CA Part A Provider - Home Health Agency 8729424148 Practice locations: North Hollywood, CA

Home health agency certification: CCN 758158

Legal name
LLB HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 1, 2025
Last certification
Sep 18, 2025
Organization structure
CorporationProprietary
Incorporated
Jan 10, 2022 in CA
Enrollment address
12444 Victory Blvd
Ste 411-J
North Hollywood, CA 91606-3199
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
LLB Home Healthcare IncCCN 758158
Ownership
-
Certified
Oct 1, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
Ste 411J
North Hollywood, CA 91606
Phone (747) 977-3979

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
Levon Baghdasaryan Individual 5% Or Greater Direct Ownership InterestOwner, Ceo, Cfo, Secretary Jan 10, 2022 100%
Corporate OfficerOwner, Ceo, Cfo, Secretary Jan 10, 2022 100%
Corporate DirectorOwner, Ceo, Cfo, Secretary Jan 10, 2022 100%
W-2 Managing EmployeeOwner, Ceo, Cfo, Secretary Jan 10, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1154079218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 411-J",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-977-3979",
            "fax_number": "747-977-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 411-J",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-977-3979",
            "fax_number": "747-977-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLB HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "BAGHDASARYAN",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "CEO,CFO,SECRETARY",
        "authorized_official_telephone_number": "747-977-3979"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.