Organization Active NPI

Ayva Home Health Services Inc

  • Home Health Agency
  • Canoga Park, CA
National Provider Identifier
1487257549
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AYVA HOME HEALTH SERVICES INC
Practice address
20944 Sherman Way Ste 209
Canoga Park, CA 91303-3642
Phone
(747) 242-1144
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Artashes Yeranosyan
Title
Ceo
Phone
(747) 242-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

20944 Sherman Way Ste 209
Canoga Park, CA 91303-3642

Mailing address

20944 Sherman Way Ste 209
Canoga Park, CA 91303-3642
Phone (747) 242-1144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309000103 CA Part A Provider - Home Health Agency 0042604027 Practice locations: Canoga Park, CA

Home health agency certification: CCN 757005

Legal name
AYVA HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 18, 2022
Last certification
May 18, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 2, 2020 in CA
Enrollment address
20944 Sherman Way
Ste 209
Canoga Park, CA 91303-3642

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ayva Home Health Services IncCCN 757005
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 18, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

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
Artashes Yeranosyan Individual 5% Or Greater Direct Ownership Interest Oct 2, 2020 100%
Corporate Officer Oct 2, 2020 100%
Corporate Director Oct 2, 2020 100%
W-2 Managing Employee Oct 2, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1487257549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY STE 209",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033642",
            "telephone_number": "747-242-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY STE 209",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033642",
            "telephone_number": "747-242-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYVA HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "YERANOSYAN",
        "authorized_official_first_name": "ARTASHES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-242-1144"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.