Organization Active NPI

Sas Home Health Care

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1386103158
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAS HOME HEALTH CARE
Practice address
18107 Sherman Way Ste 207
Reseda, CA 91335-8802
Phone
(818) 855-9743
Fax
(818) 369-6846
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Svetlana Shekoyan
Title
Ceo
Phone
(818) 855-9743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18107 Sherman Way Ste 207
Reseda, CA 91335-8802

Mailing address

18107 Sherman Way Ste 207
Reseda, CA 91335-8802
Phone (818) 855-9743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230710000926 CA Part A Provider - Home Health Agency 8729314174 Practice locations: Reseda, CA

Home health agency certification: CCN 757542

Legal name
SAS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 5, 2023
Last certification
Nov 15, 2023
Organization structure
CorporationProprietary
Enrollment address
18107 Sherman Way
Ste 207
Reseda, CA 91335-8802

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sas Home Health CareCCN 559506
Ownership
Proprietary
Certified
Feb 22, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sas Home Health CareCCN 757542
Overall star rating
3.5 of 5
Ownership
-
Certified
Dec 5, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18107 Sherman Way
Ste 207
Reseda, CA 91335
Phone (818) 855-9743

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
Svetlana Shekhoyan Individual 5% Or Greater Direct Ownership InterestN/a Feb 1, 2022 51%
Corporate OfficerCeo/President/Board Member Feb 1, 2022 51%
Corporate DirectorCeo/President/Board Member Feb 1, 2022 51%
W-2 Managing EmployeeCeo/President/Board Member Feb 1, 2022 51%
Zhasmen Jasmen Fehdikhani Individual 5% Or Greater Direct Ownership InterestN/a Feb 1, 2022 49%

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": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1386103158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18107 SHERMAN WAY STE 207",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358802",
            "telephone_number": "818-855-9743",
            "fax_number": "818-369-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18107 SHERMAN WAY STE 207",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358802",
            "telephone_number": "818-855-9743",
            "fax_number": "818-369-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAS HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "SHEKOYAN",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-855-9743"
    },
    "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.