Organization Active NPI

E.D.a Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1356815377
Registry record updated Jan 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
E.D.A HOME HEALTH CARE, INC.
Practice address
6454 Van Nuys Blvd Ste 31
Van Nuys, CA 91401-1445
Phone
(818) 756-2032
NPI assigned
Jan 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2019

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

Authorized official

Name
Arman Gabrielyan
Title
Ceo
Phone
(818) 756-2032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6454 Van Nuys Blvd Ste 31
Van Nuys, CA 91401-1445

Mailing address

6454 Van Nuys Blvd Ste 31
Van Nuys, CA 91401-1445
Phone (818) 756-2032

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200103000148 CA Part A Provider - Home Health Agency 3577997352 Practice locations: Pasadena, CA

Home health agency certification: CCN 559184

Legal name
E D A HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 3, 2020
Last certification
Mar 3, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
16 S Oakland Ave
Ste 213
Pasadena, CA 91101-2042

Care Compare: Home health agency

Medicare Care Compare
Listed as
E D a Home Health Care, IncCCN 559184 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 3, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

16 S Oakland Ave
Ste 213
Pasadena, CA 91101
Phone (206) 229-7562

6454 Van Nuys Blvd
Ste 31
Van Nuys, CA 91401
Phone (818) 756-2032

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
Ruzanna Kegeyan Individual 5% Or Greater Direct Ownership InterestCeo Dec 14, 2018 100%
Corporate OfficerCeo-Chairman of Board Dec 14, 2018
Corporate DirectorCeo Dec 14, 2018
W-2 Managing Employee Dec 14, 2018
Operational/Managerial ControlCeo Dec 14, 2018

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547251200000",
    "number": "1356815377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6454 VAN NUYS BLVD STE 31",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011445",
            "telephone_number": "818-756-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6454 VAN NUYS BLVD STE 31",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011445",
            "telephone_number": "818-756-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.D.A HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-01-12",
        "status": "A",
        "authorized_official_last_name": "GABRIELYAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-756-2032"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.