Organization Active NPI

Supreme Home Health Services

  • Home Health Agency
  • Canoga Park, CA
National Provider Identifier
1578201588
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPREME HOME HEALTH SERVICES
Practice address
21044 Sherman Way Ste 232
Canoga Park, CA 91303-3671
Phone
(818) 395-4620
Fax
(818) 337-1910
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Ms. Anna Parvanian
Title
Ceo/Cfo
Phone
(818) 395-4620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

21044 Sherman Way Ste 232
Canoga Park, CA 91303-3671

Mailing address

21044 Sherman Way Ste 232
Canoga Park, CA 91303-3671
Phone (818) 395-4620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241223002248 CA Part A Provider - Home Health Agency 9133656663 Practice locations: Canoga Park, CA

Home health agency certification: CCN 758149

Legal name
SUPREME HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 16, 2025
Last certification
Aug 7, 2025
Organization structure
CorporationProprietary
Enrollment address
21044 Sherman Way
Ste 232
Canoga Park, CA 91303-3671
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Supreme Home Health ServicesCCN 758149 · All quality measures
Ownership
-
Certified
Aug 16, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

21044 Sherman Way
Ste 232
Canoga Park, CA 91303
Phone (818) 395-4620

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
Anna Parvanian Individual 5% Or Greater Direct Ownership InterestCeo Mar 7, 2022 100%
Corporate OfficerCeo/Secretary/Cfo/Board Membr Mar 7, 2022 100%
Corporate DirectorBoard Member Mar 7, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member Mar 7, 2022 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1578201588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21044 SHERMAN WAY STE 232",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033671",
            "telephone_number": "818-395-4620",
            "fax_number": "818-337-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21044 SHERMAN WAY STE 232",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033671",
            "telephone_number": "818-395-4620",
            "fax_number": "818-337-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "PARVANIAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "818-395-4620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.