Organization Active NPI

Billet Home Health Inc Mesa

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1396497889
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BILLET HOME HEALTH INC MESA
Practice address
931 E Southern Ave Ste 207
Mesa, AZ 85204-5043
Phone
(833) 224-5538
NPI assigned
Jan 25, 2022
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Vahan Oganesyan
Title
Coo
Phone
(833) 224-5538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

931 E Southern Ave Ste 207
Mesa, AZ 85204-5043

Mailing address

6710 N 47TH Ave
Glendale, AZ 85301-4121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220608002778 AZ Part A Provider - Home Health Agency 8325426018 Practice locations: Mesa, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396497889. Details of each certification follow.

Home health agency certification: CCN 037828

Legal name
BILLET HOME HEALTH INC MESA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 2, 2023
Last certification
Mar 23, 2023
Organization structure
CorporationProprietary
Incorporated
Dec 13, 2021 in AZ
Enrollment address
931 E Southern Ave
Ste 207
Mesa, AZ 85204-5043
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Billet Home Health Inc - MesaCCN 037828 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Apr 2, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
03D2268759Billet Home Health Inc-Mesa931 E Southern Ave Ste 207, Mesa, AZ 85204Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

931 E Southern Ave
Ste 207
Mesa, AZ 85204

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edgar Garcia Vazquez Individual 5% Or Greater Direct Ownership InterestCeo Dec 13, 2021 51%
Corporate OfficerCeo Dec 13, 2021 51%
W-2 Managing EmployeeCeo Dec 13, 2021 51%
BHCM Inc Organization, Glendale, AZ Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 13, 2021 49%
Armen Ghadimian Individual 5% Or Greater Indirect Ownership Interest Dec 13, 2021 24.5%
Corporate OfficerCfo Dec 13, 2021 24.5%
W-2 Managing EmployeeCfo Dec 13, 2021 24.5%
Vahan Oganesyan Individual 5% Or Greater Indirect Ownership Interest Dec 13, 2021 24.5%
Corporate OfficerCoo Dec 13, 2021 24.5%
W-2 Managing EmployeeCoo Dec 13, 2021 24.5%

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1396497889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 N 47TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E SOUTHERN AVE STE 207",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045043",
            "telephone_number": "833-224-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLET HOME HEALTH INC MESA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "OGANESYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "833-224-5538"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.