NPIMap

Organization Active NPI

Oxnard Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1245733005
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OXNARD HOME HEALTH CARE, INC.
Practice address
3539 Ocean View Blvd Ste 1
Glendale, CA 91208-3409
Phone
(747) 255-1505
Fax
(818) 797-3033
NPI assigned
Mar 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Gurgen Oganesyan
Title
Ceo
Phone
(747) 255-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3539 Ocean View Blvd Ste 1
Glendale, CA 91208-3409

Mailing address

3539 Ocean View Blvd Ste 1
Glendale, CA 91208-3409
Phone (747) 255-1505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190912000508 CA Part A Provider - Home Health Agency 1456680768 Practice locations: Glendale, CA

Home health agency certification: CCN 559176

Legal name
OXNARD HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 23, 2020
Last certification
Jan 23, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
3539 Ocean View Blvd
Ste 1
Glendale, CA 91208-3409

Care Compare: Home health agency

Medicare Care Compare
Listed as
Oxnard Home Health Care, IncCCN 559176
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 23, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2220422Oxnard Home Health Care Inc3539 Ocean View Blvd Ste 1, Glendale, CA 91208Certificate of waiverApr 11, 2027

National Provider Directory

National Provider Directory

Locations

3043 Foothill Blvd
Ste 4
La Crescenta, CA 91214
Phone (818) 450-7292

Ownership & related parties

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.

NameRoleSinceShare
Ruzanna Mikayelyan Individual 5% Or Greater Direct Ownership Interest Mar 1, 2026 50%
Corporate OfficerCeo Mar 1, 2026 50%
Corporate DirectorCeo Mar 1, 2026 50%
W-2 Managing EmployeeCeo Mar 1, 2026 50%
Anna Hakobyan Individual 5% Or Greater Direct Ownership Interest Mar 1, 2026 50%
Corporate OfficerCfo Mar 1, 2026 50%
Corporate DirectorCfo Mar 1, 2026 50%
W-2 Managing EmployeeCfo Mar 1, 2026 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1245733005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 OCEAN VIEW BLVD STE 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912083409",
            "telephone_number": "747-255-1505",
            "fax_number": "818-797-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 OCEAN VIEW BLVD STE 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912083409",
            "telephone_number": "747-255-1505",
            "fax_number": "818-797-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXNARD HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "OGANESYAN",
        "authorized_official_first_name": "GURGEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-255-1505"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.