Samohome Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SAMOHOME INC

Practice address

18747 Sherman Way Ste 226
Reseda, CA 91335-4000

Phone

(818) 855-9227

Fax

(818) 593-0920

NPI assigned

Mar 25, 2021

Last updated

Mar 25, 2021By 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

Vardan Biyazyan

Title

Ceo

Phone

(818) 855-9227

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 1417534488. Details of each certification follow.

• CCN 758234 Home health agency · Active · Details

Home health agency certification: CCN 758234

Legal name

SAMOHOME INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 17, 2025

Last certification

Mar 25, 2025

Organization structure

CorporationProprietary

Enrollment address

18747 Sherman Way
Ste 226
Reseda, CA 91335-4000

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": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1417534488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18747 SHERMAN WAY STE 226",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354000",
            "telephone_number": "818-855-9227",
            "fax_number": "818-593-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18747 SHERMAN WAY STE 226",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354000",
            "telephone_number": "818-855-9227",
            "fax_number": "818-593-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMOHOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "BIYAZYAN",
        "authorized_official_first_name": "VARDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-855-9227"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Reseda, CA
• Providers in Reseda, 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 Mar 25, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.