5 Star Home Health Care, Inc. – Home Health Agency

Key facts

NPI: 1306460894
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: 5 STAR HOME HEALTH CARE, INC.
Practice address: 14126 Sherman Way Ste 10
Van Nuys, CA 91405-5632
Phone: (818) 927-2181
NPI assigned: Jun 1, 2020
Organization subpart: No

Authorized official

Name: Zohrab Grigoryan
Title: Ceo
Phone: (818) 927-2181

Medicare Care Compare: Home health agency

Listed as: 5 Star Home Health Care, Inc CCN 559758
Overall star rating: ★★★★☆ 3.5 of 5
Ownership: -
Certified: Aug 10, 2021
Medicare certification status: Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
05D2309269	5 Star Home Health Care 14126 Sherman Way Unit 10, Van Nuys, CA 91405	Certificate of waiver	Aug 11, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Home health agency certification: CCN 559758

Legal name: 5 STAR HOME HEALTH CARE INC
Certification status: Active
Provider type (POS): Home health agency
Participating since: Aug 10, 2021
Last certification: Aug 10, 2021
Organization structure: Corporation · Proprietary
Incorporated: May 15, 2020 in CA
Enrollment address: 14126 Sherman Way
Unit #10
Van Nuys, CA 91405-5632

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
Yervnad Hovhannisyan Individual	5% Or Greater Direct Ownership Interest	May 15, 2020	50%
	Corporate Officer Cfo,Vice President,Secretary,50%	May 15, 2020	50%
	Corporate Director Cfo,Vice President,Secretary,50%	May 15, 2020	50%
	W-2 Managing Employee Cfo,Vice President,Secretary,50%	May 15, 2020	50%
Zohrab Grigoryan Individual	5% Or Greater Direct Ownership Interest	May 15, 2020	50%
	Corporate Officer Ceo,President,50% Owner	May 15, 2020	50%
	Corporate Director Ceo,President,50% Owner	May 15, 2020	50%
	W-2 Managing Employee Ceo,President,50% Owner	May 15, 2020	50%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20200908002863	CA	Part a Provider - Home Health Agency	8224456272	Practice locations: Van Nuys, CA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes

Addresses

Primary practice location

14126 Sherman Way Ste 10
Van Nuys, CA 91405-5632

Mailing address

14126 Sherman Way Ste 10
Van Nuys, CA 91405-5632
Phone (818) 927-2181

Other providers in Van Nuys, CA

All providers in Van Nuys, CA · Home Health Agency in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.