Organization Active NPI

Safeway Home Health Care, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1215530860
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAFEWAY HOME HEALTH CARE, INC.
Practice address
1425 W Burbank Blvd Ste N
Burbank, CA 91506-1307
Phone
(818) 538-9030
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Sarkis Ter-Akopyan
Title
Ceo
Phone
(818) 538-9030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1425 W Burbank Blvd Ste N
Burbank, CA 91506-1307

Mailing address

1425 W Burbank Blvd Ste N
Burbank, CA 91506-1307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210210003316 CA Part A Provider - Home Health Agency 2668887316 Practice locations: Burbank, CA

Home health agency certification: CCN 757120

Legal name
SAFEWAY HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 25, 2022
Last certification
Aug 25, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 29, 2020 in CA
Enrollment address
1425 W Burbank Blvd
Ste N
Burbank, CA 91506-1307

Care Compare: Home health agency

Medicare Care Compare
Listed as
Safeway Home Health Care, Inc.CCN 757120
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Aug 25, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1425 W Burbank Blvd
Ste N
Burbank, CA 91506
Phone (818) 538-9030

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
Sarkis Ter-Akopyan Individual 5% Or Greater Direct Ownership Interest Sep 29, 2020 100%
Corporate OfficerCeo/Cfo/Sec/100% Owner Sep 29, 2020 100%
Corporate DirectorCeo/Cfo/Sec/100% Owner Sep 29, 2020 100%
W-2 Managing EmployeeCeo/Cfo/Sec/100% Owner Sep 29, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1215530860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W BURBANK BLVD STE N",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W BURBANK BLVD STE N",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061307",
            "telephone_number": "818-538-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "TER-AKOPYAN",
        "authorized_official_first_name": "SARKIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-538-9030"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.