Organization Active NPI

Homebridge Health Care

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1225792328
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOMEBRIDGE HEALTH CARE
Practice address
14545 Friar St Ste 399-1
Van Nuys, CA 91411-2397
Phone
(818) 396-9260
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Eduard Khachaturian
Title
Ceo
Phone
(818) 396-9260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 399-1
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 399-1
Van Nuys, CA 91411-2397

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230828000665 CA Part A Provider - Home Health Agency 4284097098 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757989

Legal name
HOMEBRIDGE HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 6, 2025
Last certification
May 29, 2025
Organization structure
CorporationProprietary
Incorporated
Sep 28, 2021 in CA
Enrollment address
14545 Friar St
Ste 399-1
Van Nuys, CA 91411-2397

Care Compare: Home health agency

Medicare Care Compare
Listed as
Homebridge Health CareCCN 757989 · All quality measures
Ownership
-
Certified
Jun 6, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 3991
Van Nuys, CA 91411
Phone (818) 396-9260

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
Sona Terzyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 28, 2021 100%
Corporate OfficerCeo Sep 28, 2021 100%
Corporate DirectorCeo Sep 28, 2021 100%
W-2 Managing EmployeeCeo Sep 28, 2021 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1225792328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 399-1",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 399-1",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-396-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBRIDGE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "KHACHATURIAN",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-396-9260"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.