Organization Active NPI

Naturcare Home Health, Inc.

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1174009666
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NATURCARE HOME HEALTH, INC.
Practice address
18645 Sherman Way Ste 215
Reseda, CA 91335-8626
Phone
(818) 396-9591
NPI assigned
Jul 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Avetis Terteryan
Title
Ceo
Phone
(818) 396-9591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18645 Sherman Way Ste 215
Reseda, CA 91335-8626

Mailing address

18645 Sherman Way Ste 215
Reseda, CA 91335-8626
Phone (818) 396-9591

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210602002555 CA Part A Provider - Home Health Agency 8123370558 Practice locations: Reseda, CA

Home health agency certification: CCN 559784

Legal name
NATURCARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 28, 2022
Last certification
Jan 28, 2022
Organization structure
CorporationProprietary
Enrollment address
18645 Sherman Way
Ste 215
Reseda, CA 91335-8626

Care Compare: Home health agency

Medicare Care Compare
Listed as
Naturcare Home Health, IncCCN 559784
Ownership
-
Certified
Jan 28, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

13711 Van Nuys Blvd
Ste 4
Pacoima, CA 91331

18645 Sherman Way
Ste 215
Reseda, CA 91335
Phone (818) 396-9591

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
Avetis Terteryan Individual 5% Or Greater Direct Ownership InterestCeo Dec 21, 2020 100%
Corporate OfficerCeo May 29, 2018 100%
Corporate DirectorCeo May 29, 2018 100%
W-2 Managing EmployeeCeo May 29, 2018 100%

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1174009666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18645 SHERMAN WAY STE 215",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358626",
            "telephone_number": "818-396-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18645 SHERMAN WAY STE 215",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358626",
            "telephone_number": "818-396-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURCARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "TERTERYAN",
        "authorized_official_first_name": "AVETIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-396-9591"
    },
    "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.