Organization Active NPI

Four Seasons Healthcare, Inc

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1437745759
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOUR SEASONS HEALTHCARE, INC
Practice address
19231 Victory Blvd Ste 554
Reseda, CA 91335-6373
Phone
(747) 300-0560
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Lia Barseghyan
Title
Ceo
Phone
(747) 300-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19231 Victory Blvd Ste 554
Reseda, CA 91335-6373

Mailing address

19231 Victory Blvd Ste 554
Reseda, CA 91335-6373
Phone (747) 300-0560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210924001687 CA Part A Provider - Home Health Agency 2961809595 Practice locations: Reseda, CA

Home health agency certification: CCN 559677

Legal name
FOUR SEASONS HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 18, 2021
Last certification
Nov 18, 2021
Organization structure
CorporationProprietary
Incorporated
Dec 2, 2020 in CA
Enrollment address
19231 Victory Blvd
Ste 554
Reseda, CA 91335-6373

Care Compare: Home health agency

Medicare Care Compare
Listed as
Four Seasons Healthcare, Inc.CCN 559677
Overall star rating
4.5 of 5
Ownership
-
Certified
Nov 18, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Lia Barseghyan Individual 5% Or Greater Direct Ownership InterestCeo Dec 2, 2020 100%
Corporate OfficerCeo Dec 2, 2020 100%
Corporate DirectorCeo Dec 2, 2020 100%
W-2 Managing EmployeeCeo Dec 2, 2020 100%

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": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1437745759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 554",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356373",
            "telephone_number": "747-300-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 554",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356373",
            "telephone_number": "747-300-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BARSEGHYAN",
        "authorized_official_first_name": "LIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-300-0560"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.