Active NPI
Kratos Home Health Care Inc
- Home Health Agency
- Reseda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KRATOS HOME HEALTH CARE INC
- Practice address
- 18570 Sherman Way
Suite H
Reseda, CA 91335-4140 - Phone
- (818) 578-6671
- Fax
- (818) 578-6717
- NPI assigned
- Mar 5, 2017
- Last updated
- Mar 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lusine Karapetyan, RN
- Title
- Ceo
- Phone
- (818) 578-6717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
18570 Sherman Way
Suite H
Reseda, CA 91335-4140
Mailing address
18570 Sherman Way
Suite H
Reseda, CA 91335-4140
Phone (818) 578-6671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170714001287 | CA | Part A Provider - Home Health Agency | 7911277561 | Practice locations: Northridge, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1275073603. Details of each certification follow.
Home health agency certification: CCN 559006
- Legal name
- KRATOS HOME HEALTH CARE INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 6, 2019
- Last certification
- Apr 6, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 12, 2017 in CA
- Enrollment address
- 8345 Reseda Blvd
Ste 212
Northridge, CA 91324-5942
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Kratos Home Health Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 6, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2188685 | Kratos Home Health Care Inc | Certificate of waiver | Jul 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
8345 Reseda Blvd
Ste 212
Northridge, CA 91324
Phone (818) 349-1944
18570 Sherman Way
Ste H
Reseda, CA 91335
Phone (818) 578-6671
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lusine Karapetyan | 5% Or Greater Direct Ownership Interest | Jan 12, 2017 | 50% |
| Corporate Officer | Jan 12, 2017 | 50% | |
| Corporate Director | Jan 12, 2017 | 50% | |
| W-2 Managing Employee | Jan 12, 2017 | 50% | |
| Margarita Serobyan | 5% Or Greater Direct Ownership Interest | Jan 12, 2017 | 50% |
| Corporate Officer | Jan 12, 2017 | 50% | |
| Corporate Director | Jan 12, 2017 | 50% | |
| W-2 Managing Employee | Jan 12, 2017 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488672000000",
"number": "1275073603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18570 SHERMAN WAY",
"address_2": "SUITE H",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354140",
"telephone_number": "818-578-6671",
"fax_number": "818-578-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18570 SHERMAN WAY",
"address_2": "SUITE H",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354140",
"telephone_number": "818-578-6671",
"fax_number": "818-578-6717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRATOS HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-05",
"last_updated": "2017-03-05",
"status": "A",
"authorized_official_last_name": "KARAPETYAN",
"authorized_official_first_name": "LUSINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-578-6717",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.