Active NPI
Ayva Home Health Services Inc
- Home Health Agency
- Canoga Park, CA
National Provider Identifier
1487257549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 18, 2022
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Artashes Yeranosyan | 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.
-
- Family Medicine Physician
- Pacific Palisades, CA
- NPI 1376660704
Home health agency
-
- Internal Medicine Physician
- Pacific Palisades, CA
- NPI 1306865688
Home health agency
-
- Plastic and Reconstructive Surgery Physician
- Thousand Oaks, CA
- NPI 1093886731
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.