Organization Active NPI

Sante Home Health Care, Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1184203242
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SANTE HOME HEALTH CARE, INC
Practice address
225 E Broadway Ste 210B
Glendale, CA 91205-1008
Phone
(818) 660-0609
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Alexander Gevorkyants
Title
Ceo
Phone
(818) 660-0609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

225 E Broadway Ste 210B
Glendale, CA 91205-1008

Mailing address

225 E Broadway Ste 210B
Glendale, CA 91205-1008
Phone (818) 660-0609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230403000345 CA Part A Provider - Home Health Agency 4284020181 Practice locations: Glendale, CA

Home health agency certification: CCN 757328

Legal name
SANTE HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 20, 2023
Last certification
Jul 20, 2023
Organization structure
CorporationProprietary
Incorporated
Mar 15, 2021 in CA
Enrollment address
225 E Broadway
Ste 210B
Glendale, CA 91205-1008

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sante Home Health Care, IncCCN 757328
Ownership
-
Certified
Jul 20, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

225 E Broadway
Ste 210B
Glendale, CA 91205
Phone (818) 660-0609

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
Nana Mnatsakanyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 1, 2022 100%
Corporate OfficerCeo Sep 1, 2022 100%
Corporate DirectorCeo Sep 1, 2022 100%
W-2 Managing EmployeeCeo Sep 1, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1184203242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE 210B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "818-660-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE 210B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "818-660-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTE HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "GEVORKYANTS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-660-0609"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.