Organization Active NPI

Kratos Home Health Care Inc

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1275073603
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 559006 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Apr 6, 2019
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
05D2188685Kratos Home Health Care Inc8345 Reseda Blvd Ste 212, Northridge, CA 91324Certificate of waiverJul 20, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lusine Karapetyan Individual 5% Or Greater Direct Ownership InterestOwner Jan 12, 2017 50%
Corporate OfficerCeo/Secretary/DPCS/Administrator Jan 12, 2017 50%
Corporate DirectorCeo/Sec/50%/Admin/ DPCS Jan 12, 2017 50%
W-2 Managing EmployeeCeo/Secretary/DPCS/Administrator Jan 12, 2017 50%
Margarita Serobyan Individual 5% Or Greater Direct Ownership InterestOwner Jan 12, 2017 50%
Corporate OfficerCfo/50% Owner Jan 12, 2017 50%
Corporate DirectorCfo/50% Owner Jan 12, 2017 50%
W-2 Managing EmployeeCfo/50% Owner 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

Verify at the official NPI Registry.