Sage Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SAGE HOME HEALTH CARE INC

Practice address

20944 Sherman Way
Suite 108
Canoga Park, CA 91303-1747

Phone

(818) 636-3250

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gevorg M. Karapetyan

Title

Ceo/Cfo

Phone

(818) 636-3250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559128

Legal name

SAGE HOME HEALTH CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 16, 2019

Last certification

Dec 16, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

6850 Van Nuys Blvd
Ste 216
Van Nuys, CA 91405-4629

Listed as

Sage Home Health Care, IncCCN 559128

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Dec 16, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1497126296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY",
            "address_2": "SUITE 108",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031747",
            "telephone_number": "818-636-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY",
            "address_2": "SUITE 108",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031747",
            "telephone_number": "818-636-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "818-636-3250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.

Verify at the official NPI Registry.