Active NPI
Ultra Health Services, Inc.
- Home Health Agency
- Valley Village, CA
National Provider Identifier
1407509508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ULTRA HEALTH SERVICES, INC.
- Practice address
- 12501 Chandler Blvd Ste 206
Valley Village, CA 91607-1946 - Phone
- (818) 650-2432
- Fax
- (818) 287-8442
- NPI assigned
- Jan 28, 2022
- 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
- Mrs. Natali Sahakyan
- Title
- Ceo
- Phone
- (818) 650-2432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
12501 Chandler Blvd Ste 206
Valley Village, CA 91607-1946
Mailing address
12501 Chandler Blvd Ste 206
Valley Village, CA 91607-1946
Phone (818) 650-2432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240520003158 | CA | Part A Provider - Home Health Agency | 0143662379 | Practice locations: Valley Village, CA |
Home health agency certification: CCN 757878
- Legal name
- ULTRA HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 25, 2025
- Last certification
- Mar 13, 2025
- Organization structure
- Corporation
- Incorporated
- in CA
- Enrollment address
- 12501 Chandler Blvd
Ste 206
Valley Village, CA 91607-1946
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ultra Health Services, Inc.
- Ownership
- -
- Certified
- Mar 25, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Natali Sahakyan | 5% Or Greater Direct Ownership Interest | Jan 10, 2022 | 100% |
| Corporate Officer | Jan 10, 2022 | 100% | |
| Corporate Director | Jan 10, 2022 | 100% | |
| W-2 Managing Employee | Jan 10, 2022 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- West Covina, CA
- NPI 1750867255
Home health agency
-
- Nephrology Physician
- Los Angeles, CA
- NPI 1043224686
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1407509508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 CHANDLER BLVD STE 206",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071946",
"telephone_number": "818-650-2432",
"fax_number": "818-287-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 CHANDLER BLVD STE 206",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071946",
"telephone_number": "818-650-2432",
"fax_number": "818-287-8442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTRA HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-28",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "SAHAKYAN",
"authorized_official_first_name": "NATALI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-650-2432",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.