Organization Active NPI

Ares Home Health Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1528523669
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 559412 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 18, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
John H Gevorgyan Individual 5% Or Greater Indirect Ownership Interest Jan 13, 2022 100%
Corporate OfficerCeo/Cfo/Secretary Jan 13, 2022 100%
Corporate DirectorCeo/Cfo/Secretary Jan 13, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Jan 13, 2022 100%
Ares Healthcare Group, Inc. Organization, Van Nuys, CA Created for acquisition, Corporation 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

Verify at the official NPI Registry.