Organization Active NPI

Millennium Health Corp

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1407322571
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MILLENNIUM HEALTH CORP
Practice address
16935 Vanowen St Ste D
Van Nuys, CA 91406-4565
Phone
(818) 337-7777
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Ani Sarhatyan
Title
Ceo
Phone
(818) 337-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16935 Vanowen St Ste D
Van Nuys, CA 91406-4565

Mailing address

16935 Vanowen St Ste D
Van Nuys, CA 91406-4565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200128001082 CA Part A Provider - Home Health Agency 5991130684 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559226

Legal name
MILLENNIUM HEALTH CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 23, 2020
Last certification
Apr 23, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 28, 2018 in CA
Enrollment address
16935 Vanowen St
Ste D
Van Nuys, CA 91406-4565

Care Compare: Home health agency

Medicare Care Compare
Listed as
Millennium Health CorpCCN 559226 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Apr 23, 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

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
Ani Sarhatyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 28, 2018 100%
Corporate OfficerCeo-Chairman of Board Sep 28, 2018 100%
Corporate DirectorCeo Sep 28, 2018 100%
W-2 Managing EmployeeCeo Sep 28, 2018 100%
Operational/Managerial ControlCeo Sep 28, 2018 100%

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": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1407322571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16935 VANOWEN ST STE D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16935 VANOWEN ST STE D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064565",
            "telephone_number": "818-337-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "SARHATYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-337-7777"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.