Cosmos Home Care Inc. – Home Health Agency

Key facts

NPI: 1184299372
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: COSMOS HOME CARE INC.
Practice address: 6342 Coldwater Cyn Ave
N Hollywood, CA 91606-2911
Phone: (818) 796-5585
NPI assigned: May 21, 2021
Organization subpart: No

Authorized official

Name: Hayk Kocharyan
Title: Ceo/Cfo/Secretary
Phone: (818) 796-5595

Medicare Care Compare: Home health agency

Listed as: Cosmos Home Care Inc. CCN 757135
Overall star rating: ★★★★☆ 3.5 of 5
Ownership: -
Certified: Feb 8, 2023
Medicare certification status: Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
05D2286274	Cosmos Home Care, Inc 6342 Coldwater Canyon Ave, North Hollywood, CA 91606	Certificate of waiver	Jul 25, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Home health agency certification: CCN 757135

Legal name: COSMOS HOME CARE INC
Certification status: Active
Provider type (POS): Home health agency
Participating since: Feb 8, 2023
Last certification: Feb 2, 2023
Organization structure: Corporation · Proprietary
Enrollment address: 6342 Coldwater Canyon Ave
North Hollywood, CA 91606-2911
HHA Branch

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.

Name	Role	Since	Share
Hayk Kocharyan Individual	5% Or Greater Direct Ownership Interest	May 12, 2021	100%
	Corporate Officer Ceo/Cfo/Secretary	May 12, 2021	100%
	Corporate Director Ceo/Cfo/Secretart	May 12, 2021	100%
	W-2 Managing Employee Ceo/Cfo/Secretary	May 12, 2021	100%
Sahag Aram Baghdassarian Individual	W-2 Managing Employee MD;	Apr 1, 2026

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20210712003751	CA	Part a Provider - Home Health Agency	0345642427	Practice locations: North Hollywood, CA

National Provider Directory

Locations

6342 Coldwater Canyon Ave
North Hollywood, CA 91606
Phone (818) 627-7333

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes

Addresses

Primary practice location

6342 Coldwater Cyn Ave
N Hollywood, CA 91606-2911

Mailing address

6342 Coldwater Cyn Ave
N Hollywood, CA 91606-2911
Phone (818) 796-5585

Other providers in N Hollywood, CA

All providers in N Hollywood, 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 May 21, 2021. 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.

Verify at the official NPI Registry.