Amma Healthcare Management
Organization Active NPI Home Health Agency · Glendora, CA
NPI 1194383877 · NPPES record last updated May 29, 2019
Key facts
- NPI
- 1194383877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AMMA HEALTHCARE MANAGEMENT
- Practice address
- 620 W Route 66 Ste 207
Glendora, CA 91740-4173 - Phone
- (818) 858-9994
- Fax
- (818) 937-9287
- NPI assigned
- May 29, 2019
- Organization subpart
- No
Authorized official
- Name
- Arsen Sahakyan
- Title
- Ceo
- Phone
- (818) 624-6360
Affiliated clinicians 3
-
Ashish Ashok Bhavsar, M.D.
-
Shiva Nancy Shabnam, M.D.
-
Anh Thu Thi Tran, MD
Medicare Care Compare: Home health agency
- Listed as
- Amma Healthcare Management
- Overall star rating
- ★★☆☆☆ 2 of 5
- Ownership
- -
- Certified
- Jan 25, 2023
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 757199
- Legal name
- AMMA HEALTHCARE MANAGEMENT
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 25, 2023
- Last certification
- Jan 13, 2023
- Organization structure
- Corporation · Proprietary
- Incorporated
- May 20, 2019 in CA
- Enrollment address
- 232 N Lake Ave
Ste 225
Pasadena, CA 91101-1862
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Vartan Mamikonjan |
5% Or Greater Direct Ownership Interest |
Sep 11, 2020 | 100% |
| Corporate Officer | Sep 11, 2020 | 100% | |
| Corporate Director | Sep 11, 2020 | 100% | |
| Karina Shvili |
W-2 Managing Employee |
Jun 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201021002901 | CA | Part a Provider - Home Health Agency | 4183044639 | Practice locations: Pasadena, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
620 W Route 66 Ste 207
Glendora, CA 91740-4173
Mailing address
620 W Route 66 Ste 207
Glendora, CA 91740-4173
Phone (818) 858-9994
Other providers in Glendora, CA
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- Amarpaul S Sidhu, M. D
- American Board & Care LLC
- American Medical Transportation
- Hayk Amiryan
- Emad M Ammar
- Diane Hutt Anderson
- Jasmine Marie Andrade
- Angel of Mercy Hospice
- Elizabeth Oleta Angel
All providers in Glendora, 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 29, 2019. 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.