Organization Active NPI

Blessing Home Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1417418559
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLESSING HOME CARE, INC.
Practice address
14545 Friar St Ste 213
Van Nuys, CA 91411-2399
Phone
(818) 290-3088
Fax
(818) 290-3676
NPI assigned
Mar 29, 2019
Last updated
Mar 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Nellie Sarkisyan
Title
Ceo
Phone
(818) 290-3088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 213
Van Nuys, CA 91411-2399

Mailing address

14545 Friar St Ste 213
Van Nuys, CA 91411-2399
Phone (818) 290-3088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191202002266 CA Part A Provider - Home Health Agency 4880027002 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417418559. Details of each certification follow.

Home health agency certification: CCN 559434

Legal name
BLESSING HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 19, 2020
Last certification
Dec 19, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 25, 2018 in CA
Enrollment address
14545 Friar St
Ste 213
Van Nuys, CA 91411-2399

Care Compare: Home health agency

Medicare Care Compare
Listed as
Blessing Home Care, IncCCN 559434 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 19, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2292553Blessing Home Care Inc14545 Friar St Suite 213, Van Nuys, CA 91411Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 213
Van Nuys, CA 91411
Phone (818) 290-3088

14550 Archwood St
Ste 106
Van Nuys, CA 91405
Phone (818) 290-3088

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Sona Avedisyan Individual 5% Or Greater Direct Ownership InterestOwner Sep 25, 2018 50%
Corporate OfficerCfo/Secretary Sep 25, 2018 50%
Corporate DirectorCfo/Secretary Sep 25, 2018 50%
W-2 Managing EmployeeCfo/Secretary Sep 25, 2018 50%
Nellie Sarkisyan Individual 5% Or Greater Direct Ownership InterestOwner Sep 25, 2018 50%
Corporate OfficerCeo Sep 25, 2018 50%
Corporate DirectorCeo Sep 25, 2018 50%
W-2 Managing EmployeeCeo Sep 25, 2018 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1417418559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 213",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112399",
            "telephone_number": "818-290-3088",
            "fax_number": "818-290-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 213",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112399",
            "telephone_number": "818-290-3088",
            "fax_number": "818-290-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSING HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "SARKISYAN",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-290-3088"
    },
    "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.