Organization Active NPI

California People's Home Health, Inc.

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1508274275
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CALIFORNIA PEOPLE'S HOME HEALTH, INC.
Practice address
12011 Victory Blvd Ste 205
North Hollywood, CA 91606-3330
Phone
(818) 980-0087
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Goar Karapetyan
Title
Ceo
Phone
(818) 980-0087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12011 Victory Blvd Ste 205
North Hollywood, CA 91606-3330

Mailing address

12011 Victory Blvd Ste 205
North Hollywood, CA 91606-3330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160823000597 CA Part A Provider - Home Health Agency 0345467239 Practice locations: North Hollywood, CA

Home health agency certification: CCN 059783

Legal name
CALIFORNIA PEOPLE'S HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 21, 2016
Last certification
Jul 11, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 5, 2014 in CA
Enrollment address
12011 Victory Blvd
Ste 205
North Hollywood, CA 91606-3330

Care Compare: Home health agency

Medicare Care Compare
Listed as
California People's Home Health, Inc.CCN 059783 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Sep 21, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2170016California People's Home Health, Inc12011 Victory Boulevard Suite 205, North Hollywood, CA 91606Certificate of waiverJul 30, 2027

National Provider Directory

National Provider Directory

Locations

12011 Victory Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 980-0087

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
Anaid Bekjanova Individual 5% Or Greater Direct Ownership Interest May 1, 2016 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member May 1, 2016 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member May 1, 2016 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member May 1, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1508274275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 VICTORY BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 VICTORY BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063330",
            "telephone_number": "818-980-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PEOPLE'S HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "GOAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-980-0087"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.