Active NPI
Kna Home Health, Inc
- Home Health Agency
- Mission Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KNA HOME HEALTH, INC
- Practice address
- 10117 Sepulveda Blvd Ste 201
Mission Hills, CA 91345-2600 - Phone
- (818) 574-7855
- Fax
- (818) 574-3738
- NPI assigned
- Sep 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristapor Shahnazaryan
- Title
- President
- Phone
- (818) 574-7855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CA | Primary |
Addresses
Primary practice location
10117 Sepulveda Blvd Ste 201
Mission Hills, CA 91345-2600
Mailing address
10117 Sepulveda Blvd Ste 201
Mission Hills, CA 91345-2600
Phone (818) 574-7855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111130000899 | CA | Part A Provider - Home Health Agency | 3779757703 | Practice locations: Mission Hills, CA |
Home health agency certification: CCN 059573
- Legal name
- KNA HOME HEALTH, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 10, 2014
- Last certification
- Jul 25, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 16, 2011 in CA
- Enrollment address
- 10117 Sepulveda Blvd
Ste 201
Mission Hills, CA 91345-2600
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Kna Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 10, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2298748 | Kna Home Health Inc | Certificate of waiver | Feb 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
10117 Sepulveda Blvd
Ste 201
Mission Hills, CA 91345
Phone (818) 574-7855
7100 Hayvenhurst Ave
Van Nuys, CA 91406
Phone (818) 574-7855
14328 Victory Blvd
Ste 205
Van Nuys, CA 91401
6611 Valjean Ave
Ste 108
Van Nuys, CA 91406
Phone (818) 475-6022
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kristapor Shahnazaryan | 5% Or Greater Direct Ownership Interest | Jan 1, 2017 | 100% |
| Corporate Officer | Jan 1, 2017 | 100% | |
| Corporate Director | Jan 1, 2017 | 100% | |
| W-2 Managing Employee | Jan 1, 2017 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1315785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1467734830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10117 SEPULVEDA BLVD STE 201",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913452600",
"telephone_number": "818-574-7855",
"fax_number": "818-574-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10117 SEPULVEDA BLVD STE 201",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913452600",
"telephone_number": "818-574-7855",
"fax_number": "818-574-3738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNA HOME HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-12",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "SHAHNAZARYAN",
"authorized_official_first_name": "KRISTAPOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-574-7855"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.