Active NPI
Camarillo Hhca Inc
- Home Health Agency
- Reseda, CA
National Provider Identifier
1386066090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CAMARILLO HHCA INC
- Practice address
- 18107 Sherman Way Ste 212
Reseda, CA 91335-8803 - Phone
- (818) 345-2200
- Fax
- (818) 345-2202
- NPI assigned
- Jan 15, 2014
- 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
- Anushavan Chalikyan
- Title
- Ceo
- Phone
- (818) 345-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
18107 Sherman Way Ste 212
Reseda, CA 91335-8803
Mailing address
18107 Sherman Way Ste 212
Reseda, CA 91335-8803
Phone (818) 345-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150806012915 | CA | Part A Provider - Home Health Agency | 9335278993 | Practice locations: Reseda, CA |
Home health agency certification: CCN 059641
- Legal name
- CAMARILLO HHCA INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 18, 2014
- Last certification
- Jul 23, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 14, 2009 in CA
- Enrollment address
- 18107 Sherman Way
Ste 212
Reseda, CA 91335-8803
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Camarillo Hhca Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 18, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
18107 Sherman Way
Ste 212
Reseda, CA 91335
Phone (818) 345-2200
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 |
|---|---|---|---|
| Zhozef J Zargarian | 5% Or Greater Direct Ownership Interest | May 1, 2022 | 50% |
| Corporate Officer | May 1, 2022 | 50% | |
| Corporate Director | May 1, 2022 | 50% | |
| W-2 Managing Employee | May 1, 2022 | 50% | |
| Anushavan Chalikyan | 5% Or Greater Direct Ownership Interest | May 1, 2022 | 50% |
| Corporate Officer | May 1, 2022 | 50% | |
| Corporate Director | May 1, 2022 | 50% | |
| W-2 Managing Employee | May 1, 2022 | 50% |
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": "1389744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389744000000",
"number": "1386066090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18107 SHERMAN WAY STE 212",
"city": "RESEDA",
"state": "CA",
"postal_code": "913358803",
"telephone_number": "818-345-2200",
"fax_number": "818-345-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18107 SHERMAN WAY STE 212",
"city": "RESEDA",
"state": "CA",
"postal_code": "913358803",
"telephone_number": "818-345-2200",
"fax_number": "818-345-2202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMARILLO HHCA INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A",
"authorized_official_last_name": "CHALIKYAN",
"authorized_official_first_name": "ANUSHAVAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-345-2200"
},
"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 Jan 15, 2014; 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.