Organization Active NPI

Ancora Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1417618877
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANCORA HOME HEALTH INC
Practice address
14545 Friar St Ste 332
Van Nuys, CA 91411-2397
Phone
(818) 641-9914
NPI assigned
Jan 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Maria Shahbazyan
Title
Ceo
Phone
(818) 641-9914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 332
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 332
Van Nuys, CA 91411-2397
Phone (818) 641-9914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240927002454 CA Part A Provider - Home Health Agency 7719333103 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417618877. Details of each certification follow.

Home health agency certification: CCN 758006

Legal name
ANCORA HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 28, 2025
Last certification
Mar 7, 2025
Organization structure
CorporationProprietary
Enrollment address
14545 Friar St
Ste 332
Van Nuys, CA 91411-2397

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ancora Home Health IncCCN 758006 · All quality measures
Ownership
-
Certified
Mar 28, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jacqueline Alegado Individual W-2 Managing EmployeeDPCS/Admin Dec 30, 2021
Hilda Grigoryan Individual 5% Or Greater Direct Ownership InterestCeo/Board Member Oct 10, 2025 49%
Corporate Officer Oct 10, 2025 49%
Corporate Director Oct 10, 2025 49%
W-2 Managing Employee Oct 10, 2025 49%
Maria Shahbazyan Individual 5% Or Greater Direct Ownership InterestSecretary/Cfo Oct 10, 2025 51%
Corporate OfficerCeo/Cfo/BM/Sec Sep 14, 2024 51%
Corporate DirectorCeo Sep 14, 2024 51%
W-2 Managing Employee Sep 14, 2024 51%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1417618877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 332",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-641-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 332",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-641-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCORA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZYAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-641-9914"
    },
    "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.