Organization Active NPI

Ruby Hearts Healthcare

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1427717313
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RUBY HEARTS HEALTHCARE
Practice address
19626 Ventura Blvd Ste 220
Tarzana, CA 91356-6026
Phone
(818) 813-8628
Fax
(844) 915-3425
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Ilona Shikoiants
Title
Ceo
Phone
(818) 813-8628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19626 Ventura Blvd Ste 220
Tarzana, CA 91356-6026

Mailing address

19626 Ventura Blvd Ste 220
Tarzana, CA 91356-6026
Phone (818) 813-8628

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231025003006 CA Part A Provider - Home Health Agency 5698121770 Practice locations: Tarzana, CA

Home health agency certification: CCN 757719

Legal name
RUBY HEARTS HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 2, 2024
Last certification
Jun 12, 2024
Organization structure
CorporationProprietary
Enrollment address
19626 Ventura Blvd
Ste 220
Tarzana, CA 91356-6026

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ruby Hearts HealthcareCCN 757719 · All quality measures
Ownership
-
Certified
Jul 2, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

19626 Ventura Blvd
Ste 220
Tarzana, CA 91356
Phone (818) 813-8628

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
Ilona Shikoiants Individual 5% Or Greater Direct Ownership InterestCeo Aug 9, 2025 51%
Corporate OfficerCeo Nov 29, 2021 51%
Corporate Director Nov 29, 2021 51%
W-2 Managing Employee Nov 29, 2021 51%
Ara Arshawen Armain Individual 5% Or Greater Direct Ownership InterestCfo Aug 9, 2025 25%
Corporate OfficerCfo Aug 9, 2025 25%
Corporate Director Aug 9, 2025 25%
Ninub Tony Rammo Individual 5% Or Greater Direct Ownership InterestSecretary Aug 9, 2025 24%
Corporate OfficerSecretary Aug 9, 2025 24%
Corporate Director Aug 9, 2025 24%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1427717313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19626 VENTURA BLVD STE 220",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566026",
            "telephone_number": "818-813-8628",
            "fax_number": "844-915-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19626 VENTURA BLVD STE 220",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566026",
            "telephone_number": "818-813-8628",
            "fax_number": "844-915-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY HEARTS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "SHIKOIANTS",
        "authorized_official_first_name": "ILONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-813-8628"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.