Organization Active NPI

Sapphire Homehealth

  • Home Health Agency
  • Encino, CA
National Provider Identifier
1184206880
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAPPHIRE HOMEHEALTH
Practice address
15720 Ventura Blvd Ste 526
Encino, CA 91436-2999
Phone
(909) 660-6900
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Nona Virabyan
Title
Ceo
Phone
(909) 660-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15720 Ventura Blvd Ste 526
Encino, CA 91436-2999

Mailing address

15720 Ventura Blvd Ste 526
Encino, CA 91436-2999
Phone (909) 660-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230316000013 CA Part A Provider - Home Health Agency 3274902010 Practice locations: Encino, CA

Home health agency certification: CCN 757323

Legal name
SAPPHIRE HOMEHEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 5, 2023
Last certification
May 24, 2023
Organization structure
CorporationProprietary
Incorporated
Apr 17, 2021 in CA
Enrollment address
15720 Ventura Blvd
Ste 526
Encino, CA 91436-2999
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sapphire HomehealthCCN 757323 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Jun 5, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

15720 Ventura Blvd
Ste 526
Encino, CA 91436
Phone (909) 660-6900

14545 Friar St
Ste 376
Van Nuys, CA 91411
Phone (909) 660-6900

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
Nona Virabyan Individual 5% Or Greater Direct Ownership Interest Apr 17, 2021 100%
Corporate OfficerCeo Apr 17, 2021 100%
Corporate DirectorDirector Apr 17, 2021 100%
Operational/Managerial ControlManager Apr 17, 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": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1184206880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 526",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362999",
            "telephone_number": "909-660-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 526",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362999",
            "telephone_number": "909-660-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE HOMEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "VIRABYAN",
        "authorized_official_first_name": "NONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-660-6900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.