Organization Active NPI

Ideal Choice Home Health

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1508452376
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IDEAL CHOICE HOME HEALTH
Practice address
14852 Ventura Blvd Ste 207
Sherman Oaks, CA 91403-5949
Phone
(747) 877-8440
NPI assigned
Dec 16, 2020
Last updated
Dec 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Abraham Manoukian
Title
Ceo
Phone
(747) 877-8440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

14852 Ventura Blvd Ste 207
Sherman Oaks, CA 91403-5949

Mailing address

14852 Ventura Blvd Ste 207
Sherman Oaks, CA 91403-5949
Phone (747) 877-8440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210816003403 CA Part A Provider - Home Health Agency 7113322066 Practice locations: Sherman Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508452376. Details of each certification follow.

Home health agency certification: CCN 559710

Legal name
IDEAL CHOICE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 17, 2021
Last certification
Sep 17, 2021
Organization structure
CorporationProprietary
Incorporated
Aug 12, 2020 in CA
Enrollment address
14852 Ventura Blvd
Ste 207
Sherman Oaks, CA 91403-5949

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ideal Choice Home HealthCCN 559710 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Sep 17, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2289566Ideal Choice Home Health14852 Ventura Blvd Suite 207, Sherman Oaks, CA 91403Certificate of waiverSep 11, 2027

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
Abraham Manoukian Individual 5% Or Greater Direct Ownership InterestCeo Aug 12, 2020 100%
Corporate OfficerCeo Aug 12, 2020 100%
Corporate DirectorCeo Aug 12, 2020 100%
W-2 Managing EmployeeCeo Aug 12, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1508452376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14852 VENTURA BLVD STE 207",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035949",
            "telephone_number": "747-877-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14852 VENTURA BLVD STE 207",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035949",
            "telephone_number": "747-877-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CHOICE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "MANOUKIAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-877-8440"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.