Active NPI
Well Center Home Health
- Home Health Agency
- Simi Valley, CA
National Provider Identifier
1528655735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WELL CENTER HOME HEALTH
- Practice address
- 45 W Easy St Ste 31
Simi Valley, CA 93065-1610 - Phone
- (323) 640-0001
- NPI assigned
- Dec 22, 2020
- 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
- Gevorg Zohrabyan
- Title
- President/Ceo
- Phone
- (323) 640-0001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
45 W Easy St Ste 31
Simi Valley, CA 93065-1610
Mailing address
45 W Easy St Ste 31
Simi Valley, CA 93065-1610
Phone (323) 640-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221031000071 | CA | Part A Provider - Home Health Agency | 5597132811 | Practice locations: Glendale, CA |
Home health agency certification: CCN 757378
- Legal name
- WELL CENTER HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 19, 2023
- Last certification
- Apr 13, 2023
- Organization structure
- Corporation
- Incorporated
- Dec 7, 2020 in CA
- Enrollment address
- 401 N Brand Blvd
Ste 635B
Glendale, CA 91203-4447
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Well Center Home Health
- Overall star rating
- Ownership
- -
- Certified
- Feb 19, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
401 N Brand Blvd
Ste 635B
Glendale, CA 91203
Phone (818) 336-1758
45 W Easy St
Ste 31
Simi Valley, CA 93065
Phone (323) 640-0001
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 |
|---|---|---|---|
| Agnessa Torosyan | Contracted Managing Employee | Apr 1, 2026 | |
| Gayane Grigoryan | 5% Or Greater Direct Ownership Interest | Feb 15, 2022 | 100% |
| Corporate Officer | Feb 15, 2022 | 100% | |
| Operational/Managerial Control | Feb 15, 2022 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608595200000",
"number": "1528655735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 W EASY ST STE 31",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651610",
"telephone_number": "323-640-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 W EASY ST STE 31",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651610",
"telephone_number": "323-640-0001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL CENTER HOME HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A",
"authorized_official_last_name": "ZOHRABYAN",
"authorized_official_first_name": "GEVORG",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "323-640-0001"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.