Aqua Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AQUA HOME HEALTH CARE, INC.

Practice address

5535 Balboa Blvd Ste 103
Encino, CA 91316-1575

Phone

(747) 800-3871

Fax

(747) 800-3874

NPI assigned

Dec 3, 2021

Last updated

Dec 3, 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

Argam Aramayisi Khachatryan

Title

Ceo

Phone

(747) 800-3871

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 1427716737. Details of each certification follow.

• CCN 757525 Home health agency · Active · Details

Home health agency certification: CCN 757525

Legal name

AQUA HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 16, 2024

Last certification

Jan 16, 2024

Organization structure

CorporationProprietary

Enrollment address

5535 Balboa Blvd
Ste 103
Encino, CA 91316-1575
HHA Branch

Listed as

Aqua Home Health Care, Inc.CCN 757525 · All quality measures

Overall star rating

2.5 of 5

Ownership

-

Certified

Jan 16, 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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gerard H Boghossian, D.P.M.

  • Podiatrist
  • Lancaster, CA
  • NPI 1942263322

  Home health agency

  Care Compare affiliation
• Louis Enrique, M.D.

  • Internal Medicine Physician
  • Antioch, CA
  • NPI 1356363642

  Home health agency

  Care Compare affiliation
• Zain Kadri, M.D

  • Facial Plastic Surgery Physician
  • Palmdale, CA
  • NPI 1073678736

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1427716737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD STE 103",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161575",
            "telephone_number": "747-800-3871",
            "fax_number": "747-800-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD STE 103",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161575",
            "telephone_number": "747-800-3871",
            "fax_number": "747-800-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "ARGAM",
        "authorized_official_middle_name": "ARAMAYISI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-800-3871"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Aparicio
• Teresa Aparicio, LCSW
• Tamar Lisa Apelian, PSY.D.
• Leslie H Apody, DDS
• Apple Medical
• Tamara Arabova
• Christian Aragon
• Karla Aragon
• Michael Aragon, B.C.B.A.
• Anna Arakelian

• Home Health Agency in Encino, CA
• Providers in Encino, 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 Dec 3, 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.
• 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.