Organization Active NPI

Athella Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1265024707
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ATHELLA HOME HEALTH INC
Practice address
14664 Victory Blvd Ste 102
Van Nuys, CA 91411-1621
Phone
(661) 388-4045
NPI assigned
Feb 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Sargis Gadyan
Title
Cfo
Phone
(661) 388-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14664 Victory Blvd Ste 102
Van Nuys, CA 91411-1621

Mailing address

14664 Victory Blvd Ste 102
Van Nuys, CA 91411-1621
Phone (661) 388-4045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221031000240 CA Part A Provider - Home Health Agency 4385011618 Practice locations: Valencia, CA

Home health agency certification: CCN 757247

Legal name
ATHELLA HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 21, 2023
Last certification
Feb 15, 2023
Organization structure
CorporationProprietary
Incorporated
Jan 15, 2021 in CA
Enrollment address
27200 Tourney Rd
Ste 102
Valencia, CA 91355-4910
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Athella Home Health, Inc.CCN 757247
Ownership
-
Certified
Feb 21, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

27200 Tourney Rd
Ste 102
Valencia, CA 91355
Phone (661) 388-4045

14664 Victory Blvd
Ste 102
Van Nuys, CA 91411
Phone (661) 388-4045

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
Sirazard Kyurkchyan Individual 5% Or Greater Direct Ownership InterestPresident,Secretary Jan 15, 2021 100%
Corporate OfficerPresident,Secretary Jan 15, 2021 100%
Operational/Managerial ControlPredident,Secretary Jan 15, 2021 100%

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": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1265024707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14664 VICTORY BLVD STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "661-388-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14664 VICTORY BLVD STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "661-388-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHELLA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "GADYAN",
        "authorized_official_first_name": "SARGIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "661-388-4045"
    },
    "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.