SGS Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SGS HOME HEALTH CARE, INC

Practice address

12501 Chandler Blvd Ste 105B
Valley Village, CA 91607-1941

Phone

(818) 806-9008

NPI assigned

Nov 15, 2021

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Silva Avetisyan

Title

Ceo

Phone

(818) 806-9008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407512379. Details of each certification follow.

• CCN 757845 Home health agency · Active · Details

Home health agency certification: CCN 757845

Legal name

SGS HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 30, 2024

Last certification

Dec 13, 2024

Organization structure

CorporationProprietary

Enrollment address

201 N Brand Blvd
Unit 207
Glendale, CA 91203-3589

Listed as

SGS Home Health Care, Inc.CCN 757845 · All quality measures

Ownership

-

Certified

Dec 30, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1407512379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 105B",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071941",
            "telephone_number": "818-806-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 105B",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071941",
            "telephone_number": "818-806-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGS HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "SILVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-806-9008"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.

Verify at the official NPI Registry.