Organization Active NPI

Sera Healthcare

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1497320527
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERA HEALTHCARE
Practice address
14543 Friar Street Suite 105
Van Nuys, CA 91411
Phone
(818) 795-2953
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Anna AdamyanNPI 1871212605
Title
Ceo
Phone
(818) 795-2953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14543 Friar Street Suite 105
Van Nuys, CA 91411

Mailing address

14543 Friar Street Suite 105
Van Nuys, CA 91411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231003000912 CA Part A Provider - Home Health Agency 4587018072 Practice locations: Burbank, CA

Home health agency certification: CCN 757743

Legal name
SERA HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 15, 2024
Last certification
Aug 15, 2024
Organization structure
CorporationProprietary
Incorporated
May 5, 2021 in CA
Enrollment address
300 N 3Rd St
Ste 254
Burbank, CA 91502-1107
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sera HealthcareCCN 757743
Overall star rating
2.5 of 5
Ownership
-
Certified
Aug 15, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

300 N 3rd St
Ste 254
Burbank, CA 91502
Phone (747) 208-8712

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
Anna Adamyan Individual 5% Or Greater Direct Ownership Interest May 5, 2021 100%
Corporate Officer May 5, 2021 100%
Corporate Director May 5, 2021 100%
Operational/Managerial Control May 5, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1497320527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14543 FRIAR STREET SUITE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14543 FRIAR STREET SUITE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91411",
            "telephone_number": "818-795-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "ADAMYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-795-2953"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.