Active NPI
Ares Home Health Inc.
- Home Health Agency
- Van Nuys, CA
National Provider Identifier
1528523669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ARES HOME HEALTH INC.
- Practice address
- 14540 Victory Blvd Ste 212
Van Nuys, CA 91411-4601 - Phone
- (818) 453-3080
- Fax
- (747) 214-0750
- NPI assigned
- Feb 3, 2019
- Last updated
- Feb 3, 2019
- 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
- Marina Poghosyan
- Title
- Ceo
- Phone
- (818) 927-9086
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
14540 Victory Blvd Ste 212
Van Nuys, CA 91411-4601
Mailing address
14540 Victory Blvd Ste 212
Van Nuys, CA 91411-4601
Phone (818) 453-3080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200218001033 | CA | Part A Provider - Home Health Agency | 1951633783 | Practice locations: Van Nuys, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1528523669. Details of each certification follow.
Home health agency certification: CCN 559412
- Legal name
- ARES HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 18, 2020
- Last certification
- Jan 18, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 1, 2018 in CA
- Enrollment address
- 14412 Friar St
Ste 202
Van Nuys, CA 91401-2124
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ares Home Health Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 18, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
14412 Friar St
Ste 202
Van Nuys, CA 91401
Phone (818) 453-3080
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| John H Gevorgyan | 5% Or Greater Indirect Ownership Interest | Jan 13, 2022 | 100% |
| Corporate Officer | Jan 13, 2022 | 100% | |
| Corporate Director | Jan 13, 2022 | 100% | |
| W-2 Managing Employee | Jan 13, 2022 | 100% | |
| Ares Healthcare Group, Inc. | 5% Or Greater Direct Ownership Interest | Nov 18, 2019 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549152000000",
"number": "1528523669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14540 VICTORY BLVD STE 212",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914114601",
"telephone_number": "818-453-3080",
"fax_number": "747-214-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14540 VICTORY BLVD STE 212",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914114601",
"telephone_number": "818-453-3080",
"fax_number": "747-214-0750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARES HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-03",
"last_updated": "2019-02-03",
"status": "A",
"authorized_official_last_name": "POGHOSYAN",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-927-9086"
},
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.