Aag Healthcare, Inc.
Organization Active NPI Home Health Agency · Burbank, CA
NPI 1174040166 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1174040166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AAG HEALTHCARE, INC.
- Practice address
- 719 S Victory Blvd Unit a
Burbank, CA 91502-2426 - Phone
- (818) 913-0069
- NPI assigned
- Aug 29, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Akop Gavgavyan
- Title
- President/Ceo
- Phone
- (818) 913-0069
Medicare Care Compare: Home health agency
- Listed as
- Aag Healthcare, Inc
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Sep 29, 2020
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 559436
- Legal name
- AAG HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 29, 2020
- Last certification
- Sep 29, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jul 19, 2017 in CA
- Enrollment address
- 719 S Victory Blvd
Unit a
Burbank, CA 91502-2426
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Akop Gavgavyan |
5% Or Greater Direct Ownership Interest | Jul 19, 2017 | 100% |
| Corporate Officer |
Jul 19, 2017 | 100% | |
| Corporate Director |
Jul 19, 2017 | 100% | |
| W-2 Managing Employee |
Jul 19, 2017 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171222000994 | CA | Part a Provider - Home Health Agency | 1557629425 | Practice locations: Burbank, CA |
National Provider Directory
Locations
719 S Victory Blvd
Unit A
Burbank, CA 91502
Phone (818) 745-0988
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CA | Yes |
Addresses
Primary practice location
719 S Victory Blvd Unit a
Burbank, CA 91502-2426
Mailing address
719 S Victory Blvd Unit a
Burbank, CA 91502-2426
Phone (818) 913-0069
Other providers in Burbank, CA
- Aaa Home Care, Inc
- Aaa Home Health Services, Inc.
- Aaa la Hospice Inc
- Aaa Recovery LLC
- Aag Concepts
- Terry Kuhn Aaron
- Ab Shield Trans. Inc.
- ABA Health Center LLC
- Elisabeth Crawford Abbott
- Abby Comfort Care, LLC
All providers in Burbank, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.