Organization Active NPI

Blue Diamond Home Health Inc

  • Home Health Agency
  • Chatsworth, CA
National Provider Identifier
1194591230
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLUE DIAMOND HOME HEALTH INC
Practice address
22024 Lassen St Ste 117
Chatsworth, CA 91311-8327
Phone
(424) 240-4444
Fax
(424) 241-4444
NPI assigned
Nov 29, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Sarjo Hovanesyan
Title
Ceo
Phone
(424) 240-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

22024 Lassen St Ste 117
Chatsworth, CA 91311-8327

Mailing address

22024 Lassen St Ste 117
Chatsworth, CA 91311-8327
Phone (424) 240-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241223001714 CA Part A Provider - Home Health Agency 5698202117 Practice locations: Chatsworth, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194591230. Details of each certification follow.

Home health agency certification: CCN 758003

Legal name
BLUE DIAMOND HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 3, 2025
Last certification
Jun 17, 2025
Organization structure
CorporationProprietary
Enrollment address
22024 Lassen St
Ste 117
Chatsworth, CA 91311-8327
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Blue Diamond Home Health IncCCN 758003 · All quality measures
Ownership
-
Certified
Jul 3, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

22024 Lassen St
Ste 117
Chatsworth, CA 91311
Phone (424) 240-4444

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hasmik Balamutyan Individual W-2 Managing EmployeeDPCS/Admin Nov 30, 2023
Sarjo Hovanesyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Sec/BM Nov 30, 2023 100%
Corporate OfficerCeo/Cfo/Sec/BM Nov 30, 2023 100%
Corporate DirectorCeo/Cfo/Sec/BM Nov 30, 2023 100%
W-2 Managing EmployeeCeo/Cfo/Sec/BM Nov 30, 2023 100%
Zhanna Khanjyan Individual W-2 Managing EmployeeAd;DPCS Nov 30, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1194591230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22024 LASSEN ST STE 117",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913118327",
            "telephone_number": "424-240-4444",
            "fax_number": "424-241-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22024 LASSEN ST STE 117",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913118327",
            "telephone_number": "424-240-4444",
            "fax_number": "424-241-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DIAMOND HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "HOVANESYAN",
        "authorized_official_first_name": "SARJO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-240-4444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

Verify at the official NPI Registry.