Organization Active NPI

Entrusted Health Care Providers Inc

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1447863436
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ENTRUSTED HEALTH CARE PROVIDERS INC
Practice address
12444 Victory Blvd # 212
North Hollywood, CA 91606-3199
Phone
(818) 960-3890
Fax
(818) 272-8840
NPI assigned
Aug 28, 2020
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Harout Sargsyan
Title
Ceo
Phone
(818) 960-3890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

12444 Victory Blvd # 212
North Hollywood, CA 91606-3199

Mailing address

12444 Victory Blvd # 212
North Hollywood, CA 91606-3199
Phone (818) 960-3890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231204001434 CA Part A Provider - Home Health Agency 4284094616 Practice locations: North Hollywood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447863436. Details of each certification follow.

Home health agency certification: CCN 757986

Legal name
ENTRUSTED HEALTH CARE PROVIDERS INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 5, 2024
Last certification
Aug 28, 2024
Organization structure
CorporationProprietary
Enrollment address
12444 Victory Blvd
Ste 415
North Hollywood, CA 91606-3199

Care Compare: Home health agency

Medicare Care Compare
Listed as
Entrusted Health Care Providers IncCCN 757986 · All quality measures
Ownership
-
Certified
Sep 5, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
#212
North Hollywood, CA 91606
Phone (818) 960-3890

12444 Victory Blvd
Ste 415
North Hollywood, CA 91606
Phone (818) 422-5781

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Ara B Aintablian Individual W-2 Managing EmployeeAd;DPCS Mar 1, 2026 100%
Rafik Khelushyan Individual 5% Or Greater Direct Ownership Interest May 2, 2022 100%
Corporate Officer May 2, 2022 100%
W-2 Managing Employee May 2, 2022 100%
Operational/Managerial Control May 2, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1447863436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD # 212",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "818-960-3890",
            "fax_number": "707-408-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD # 212",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "818-960-3890",
            "fax_number": "818-272-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTRUSTED HEALTH CARE PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "HAROUT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-960-3890"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.