Organization Active NPI

Auxiliary Home Health Care

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1154946697
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AUXILIARY HOME HEALTH CARE
Practice address
6742 Van Nuys Blvd Ste 100
Van Nuys, CA 91405-4611
Phone
(818) 448-8940
NPI assigned
Jun 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Grigor Karapetyan
Title
Ceo
Phone
(818) 448-8940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6742 Van Nuys Blvd Ste 100
Van Nuys, CA 91405-4611

Mailing address

6742 Van Nuys Blvd Ste 100
Van Nuys, CA 91405-4611
Phone (818) 448-8940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210616003559 CA Part A Provider - Home Health Agency 3274933924 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757014

Legal name
AUXILIARY HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 31, 2022
Last certification
Aug 19, 2022
Organization structure
CorporationProprietary
Incorporated
May 27, 2020 in CA
Enrollment address
6742 Van Nuys Blvd
Ste 100
Van Nuys, CA 91405-4611

Care Compare: Home health agency

Medicare Care Compare
Listed as
Auxiliary Home Health CareCCN 757014 · All quality measures
Ownership
-
Certified
Aug 31, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6742 Van Nuys Blvd
Ste 100
Van Nuys, CA 91405
Phone (818) 448-8940

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Grigor Karapetyan Individual 5% Or Greater Direct Ownership InterestCeo May 27, 2020 100%
Corporate Officer May 27, 2020 100%
Corporate Director May 27, 2020 100%
Naira Tadevosyan Individual W-2 Managing EmployeeDPCS Jun 1, 2020

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1154946697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054611",
            "telephone_number": "818-448-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054611",
            "telephone_number": "818-448-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUXILIARY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "GRIGOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-448-8940"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.