Organization Active NPI

Emerald Hearts Healthcare

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1538827480
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EMERALD HEARTS HEALTHCARE
Practice address
19626 Ventura Blvd Unit 220a
Tarzana, CA 91356-2944
Phone
(818) 745-8607
Fax
(833) 631-2183
NPI assigned
Dec 7, 2021
Last updated
Dec 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Ilona Shikoiants
Title
Ceo
Phone
(818) 745-8607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19626 Ventura Blvd Unit 220a
Tarzana, CA 91356-2944

Mailing address

19626 Ventura Blvd Unit 220a
Tarzana, CA 91356-2944
Phone (818) 745-8607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231206001183 CA Part A Provider - Home Health Agency 5395194161 Practice locations: Tarzana, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538827480. Details of each certification follow.

Home health agency certification: CCN 757706

Legal name
EMERALD HEARTS HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 2024
Last certification
Jun 14, 2024
Organization structure
CorporationProprietary
Incorporated
Nov 29, 2021 in CA
Enrollment address
19626 Ventura Blvd
Unit 220a
Tarzana, CA 91356-2944

Care Compare: Home health agency

Medicare Care Compare
Listed as
Emerald Hearts HealthcareCCN 757706 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Jul 1, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

19626 Ventura Blvd
Unit 220A
Tarzana, CA 91356
Phone (818) 745-8607

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
Ilona Shikoiants Individual 5% Or Greater Direct Ownership Interest Nov 29, 2021 100%
Corporate OfficerCeo/Secretary/Cfo/Board Member Nov 29, 2021 100%
Corporate DirectorBoard Member Nov 29, 2021 100%
W-2 Managing EmployeeCeo/Secretary/Cfo/Board Member Nov 29, 2021 100%

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": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1538827480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19626 VENTURA BLVD UNIT 220A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562944",
            "telephone_number": "818-745-8607",
            "fax_number": "833-631-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19626 VENTURA BLVD UNIT 220A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562944",
            "telephone_number": "818-745-8607",
            "fax_number": "833-631-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD HEARTS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "SHIKOIANTS",
        "authorized_official_first_name": "ILONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-745-8607"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.