Organization Active NPI

Aceso Home Health Care

  • Home Health Agency
  • Valley Village, CA
National Provider Identifier
1467970665
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACESO HOME HEALTH CARE
Practice address
12500 Riverside Dr Ste 200D
Valley Village, CA 91607-3434
Phone
(818) 308-7705
Fax
(818) 688-0780
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Armen Grigoryan
Title
Ceo
Phone
(818) 308-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12500 Riverside Dr Ste 200D
Valley Village, CA 91607-3434

Mailing address

12500 Riverside Dr Ste 200D
Valley Village, CA 91607-3434
Phone (818) 308-7705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026000531 CA Part A Provider - Home Health Agency 8325304355 Practice locations: Glendale, CA

Home health agency certification: CCN 757941

Legal name
ACESO HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 1, 2025
Last certification
May 1, 2025
Organization structure
CorporationProprietary
Incorporated
Jun 5, 2017 in CA
Enrollment address
221 E Glenoaks Blvd
Ste 225C
Glendale, CA 91207-2085

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aceso Home Health CareCCN 757941
Ownership
-
Certified
May 1, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

221 E Glenoaks Blvd
Ste 225C
Glendale, CA 91207
Phone (818) 358-8700

12500 Riverside Dr
Ste 200D
Valley Village, CA 91607
Phone (818) 308-7705

5301 Laurel Canyon Blvd
Ste 220
Valley Village, CA 91607
Phone (818) 358-8700

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
Rafik Alaverdyan Individual 5% Or Greater Direct Ownership InterestCeo Apr 24, 2019 80%
Corporate OfficerCeo, Board Member Apr 24, 2019 80%
Corporate DirectorCeo, Board Member Apr 24, 2019 80%
Alisa Alaverdyan Individual 5% Or Greater Direct Ownership InterestCfo, Secretary Apr 24, 2019 20%
Corporate DirectorCfo, Board Member Apr 24, 2019 20%
W-2 Managing EmployeeAdministrator Apr 24, 2019 100%
Operational/Managerial ControlAdministrator Apr 24, 2019 100%

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467970665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 RIVERSIDE DR STE 200D",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073434",
            "telephone_number": "818-308-7705",
            "fax_number": "818-688-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 RIVERSIDE DR STE 200D",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073434",
            "telephone_number": "818-308-7705",
            "fax_number": "818-688-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACESO HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-308-7705"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.