Organization Active NPI

Sirius Home Health Services, Inc

  • Home Health Agency
  • Panorama City, CA
National Provider Identifier
1407480494
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIRIUS HOME HEALTH SERVICES, INC
Practice address
8215 Van Nuys Blvd Ste 318
Panorama City, CA 91402-4842
Phone
(747) 282-1477
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Henrik Aslanyan
Title
Ceo
Phone
(747) 282-1477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8215 Van Nuys Blvd Ste 318
Panorama City, CA 91402-4842

Mailing address

8215 Van Nuys Blvd Ste 318
Panorama City, CA 91402-4842
Phone (747) 282-1477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200805003410 CA Part A Provider - Home Health Agency 6002231131 Practice locations: Panorama City, CA

Home health agency certification: CCN 559505

Legal name
SIRIUS HOME HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 17, 2021
Last certification
Mar 17, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
8215 Van Nuys Blvd
Ste 318
Panorama City, CA 91402-4842

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sirius Home Health Services, IncCCN 559505
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 17, 2021
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

8215 Van Nuys Blvd
Ste 318
Panorama City, CA 91402
Phone (747) 282-1477

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
Sirius Health Group, Inc Organization, Panorama City, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest May 30, 2017 100%
Arman Sargsyan Individual 5% Or Greater Indirect Ownership Interest Feb 22, 2022 50%
W-2 Managing EmployeeOwner, Administrator Designee Dec 1, 2023 50%
Eric Delacruz Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2023 1%
Tetyana Loik Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2023 49%
Corporate OfficerCeo/Cfo/Secretary/BM/Admin/DPCS Dec 1, 2023 100%
Corporate DirectorCeo/Cfo/Secretary/BM/Admin/DPCS Dec 1, 2023 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/BM/Admin/DPCS Dec 1, 2023 100%

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1407480494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD STE 318",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024842",
            "telephone_number": "747-282-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD STE 318",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024842",
            "telephone_number": "747-282-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRIUS HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "ASLANYAN",
        "authorized_official_first_name": "HENRIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-282-1477"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.