Organization Active NPI

Kna Home Health, Inc

  • Home Health Agency
  • Mission Hills, CA
National Provider Identifier
1467734830
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 24, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 059573
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 10, 2014
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
05D2298748Kna Home Health Inc10117 Sepulveda Blvd Suite 201, Mission Hills, CA 91345Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Kristapor Shahnazaryan Individual 5% Or Greater Direct Ownership InterestPresident/Owner Jan 1, 2017 100%
Corporate OfficerCeo/Cfo/Secratary Jan 1, 2017 100%
Corporate DirectorSole Board Member Jan 1, 2017 100%
W-2 Managing EmployeePresident/Owner 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

Verify at the official NPI Registry.