Organization Active NPI

Astra Home Health Care, Inc.

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1164993895
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASTRA HOME HEALTH CARE, INC.
Practice address
15125 Ventura Blvd # 2-11
Sherman Oaks, CA 91403-3306
Phone
(818) 478-8090
Fax
(800) 635-3501
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Mrs. Gayane Mkrtchyan
Title
Owner, Ceo, Cfo, Secretary
Phone
(818) 478-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15125 Ventura Blvd # 2-11
Sherman Oaks, CA 91403-3306

Mailing address

15125 Ventura Blvd # 2-11
Sherman Oaks, CA 91403-3306
Phone (818) 478-8090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210615002467 CA Part A Provider - Home Health Agency 8426458258 Practice locations: San Fernando, CA

Home health agency certification: CCN 757133

Legal name
ASTRA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 12, 2023
Last certification
Dec 22, 2022
Organization structure
CorporationProprietary
Enrollment address
11565 Laurel Canyon Blvd
Ste 116
San Fernando, CA 91340-4650

Care Compare: Home health agency

Medicare Care Compare
Listed as
Astra Home Health Care IncCCN 757133 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
Jan 12, 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
05D2323130Astra Home Health Care, Inc11565 Laurel Canyon Blvd Suite 116, San Fernando, CA 91340Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory

Locations

502 W Route 66
#18A
Glendora, CA 91740

11565 Laurel Canyon Blvd
Ste 116
San Fernando, CA 91340
Phone (818) 478-8090

15125 Ventura Blvd
#211
Sherman Oaks, CA 91403
Phone (818) 478-8090

15125 Ventura Blvd
Ste 211
Sherman Oaks, CA 91403
Phone (818) 478-8090

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
Merly E Alinea Individual 5% Or Greater Direct Ownership InterestCfo,49% Stock Owner Apr 7, 2024 49%
Corporate OfficerCfo Apr 7, 2024 49%
Corporate DirectorCfo Apr 7, 2024 49%
W-2 Managing EmployeeCfo Apr 7, 2024 49%
Gayane E Mkrtchyan Individual 5% Or Greater Direct Ownership InterestCeo, Corporate Secretary, 51% Ow Apr 7, 2024 51%
Corporate OfficerGoverning Board Member, Presiden Apr 6, 2021 100%
W-2 Managing EmployeeGoverning Board Member, Presiden Apr 6, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1164993895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD # 2-11",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "818-478-8090",
            "fax_number": "800-635-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD # 2-11",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "818-478-8090",
            "fax_number": "800-635-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "MKRTCHYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "OWNER, CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "818-478-8090",
        "authorized_official_name_prefix": "Mrs."
    },
    "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.