NPIMap

Organization Active NPI

Aca Home Health Care, Inc.

  • Home Health Agency
  • Thousand Oaks, CA
National Provider Identifier
1467684993
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550001446 Issued in CA
Legal business name
ACA HOME HEALTH CARE, INC.
Practice address
223 E Thousand Oaks Blvd
Suite 407
Thousand Oaks, CA 91360-5803
Phone
(805) 497-2773
Fax
(805) 497-3027
NPI assigned
Aug 18, 2009
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Ms. Ripsime Petrosyan, RN
Title
President
Phone
(805) 497-2773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550001446 CA Primary

Addresses

Primary practice location

223 E Thousand Oaks Blvd
Suite 407
Thousand Oaks, CA 91360-5803

Mailing address

223 E Thousand Oaks Blvd
Suite 407
Thousand Oaks, CA 91360-5803
Phone (805) 497-2773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110712000734 CA Part A Provider - Home Health Agency 6901074244 Practice locations: Thousand Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467684993. Details of each certification follow.

Home health agency certification: CCN 059341

Legal name
ACA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 29, 2011
Last certification
Nov 5, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 16, 2009 in CA
Enrollment address
223 E Thousand Oaks Blvd
Ste 407
Thousand Oaks, CA 91360-8244

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aca Home Health Care IncCCN 059341 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Apr 29, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2049459Aca Home Health Care, Inc.223 E. Thousand Oaks Blvd., Suite 407, Thousand Oaks, CA 91360Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Locations

223 E Thousand Oaks Blvd
Ste 407
Thousand Oaks, CA
Phone (805) 497-2773

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
Kenneth E Nyman Individual Contracted Managing Employee Jun 9, 2011
Ripsime Petrosyan Individual 5% Or Greater Direct Ownership Interest Jun 9, 2011 100%
Corporate Director Jun 9, 2011
W-2 Managing Employee Jun 9, 2011

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1467684993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 407",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605803",
            "telephone_number": "805-497-2773",
            "fax_number": "805-497-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 407",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605803",
            "telephone_number": "805-497-2773",
            "fax_number": "805-497-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "RIPSIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-497-2773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.