Organization Active NPI

Grateful Home Health, Inc.

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1538813258
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRATEFUL HOME HEALTH, INC.
Practice address
18625 Sherman Way Ste 204C
Reseda, CA 91335-4184
Phone
(424) 372-0027
NPI assigned
Feb 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Harutyun Karapetyan
Title
Ceo
Phone
(424) 372-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18625 Sherman Way Ste 204C
Reseda, CA 91335-4184

Mailing address

18625 Sherman Way Ste 204C
Reseda, CA 91335-4184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603003729 CA Part A Provider - Home Health Agency 3971045170 Practice locations: Reseda, CA

Home health agency certification: CCN 757838

Legal name
GRATEFUL HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 25, 2025
Last certification
Jan 24, 2025
Organization structure
CorporationProprietary
Enrollment address
18625 Sherman Way
Ste 204C
Reseda, CA 91335-4184

Care Compare: Home health agency

Medicare Care Compare
Listed as
Grateful Home Health, Inc.CCN 757838
Ownership
-
Certified
Feb 25, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18625 Sherman Way
Ste 204C
Reseda, CA 91335
Phone (424) 372-0027

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Samvel Shahoyan Individual 5% Or Greater Indirect Ownership Interest May 12, 2025 25%
Corporate OfficerCeo/Secretary/Board Director May 12, 2025 50%
Corporate DirectorCeo/Secretary/Board Director May 12, 2025 50%
W-2 Managing EmployeeCeo/Secretary/Board Director May 12, 2025 50%
Armenui Sarkisian Individual W-2 Managing EmployeeDPCS/Administrator May 12, 2025
Vachagan Sogomonyan Individual 5% Or Greater Indirect Ownership Interest May 12, 2025 24%
Corporate OfficerCeo/Board Director May 12, 2025 50%
Corporate DirectorCeo/Board Director May 12, 2025 50%
W-2 Managing EmployeeCeo/Board Director May 12, 2025 50%
SSVG Services, Inc. Organization, Panorama City, CA Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 12, 2025 49%
Harutyun Karapetyan Individual 5% Or Greater Indirect Ownership Interest May 12, 2025 51%
Corporate OfficerCeo/Cfo/Secretary Oct 24, 2021 100%
Corporate DirectorCeo/Cfo/Secretary Oct 24, 2021 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Oct 24, 2021 100%
1241 Management Group Organization, Reseda, CA Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 12, 2025 51%

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": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1538813258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18625 SHERMAN WAY STE 204C",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18625 SHERMAN WAY STE 204C",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354184",
            "telephone_number": "424-372-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATEFUL HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "HARUTYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-372-0027"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.