Organization Active NPI

Guardian Brothers Home Health Care Inc.

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1619630068
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN BROTHERS HOME HEALTH CARE INC.
Practice address
13731 Ventura Blvd Ste a
Sherman Oaks, CA 91423-3078
Phone
(818) 946-8600
Fax
(818) 946-8700
NPI assigned
Oct 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Yura Zakaryan
Title
Ceo
Phone
(818) 946-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13731 Ventura Blvd Ste a
Sherman Oaks, CA 91423-3078

Mailing address

13731 Ventura Blvd Ste a
Sherman Oaks, CA 91423-3078
Phone (818) 946-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221220000904 CA Part A Provider - Home Health Agency 4587033246 Practice locations: Sherman Oaks, CA

Home health agency certification: CCN 757431

Legal name
GUARDIAN BROTHERS HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 9, 2023
Last certification
Nov 9, 2023
Organization structure
CorporationProprietary
Incorporated
Sep 24, 2021 in CA
Enrollment address
13731 Ventura Blvd
Ste a
Sherman Oaks, CA 91423-3078

Care Compare: Home health agency

Medicare Care Compare
Listed as
Guardian Brothers Home Health Care Inc.CCN 757431
Ownership
-
Certified
Nov 9, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

13731 Ventura Blvd
Ste A
Sherman Oaks, CA 91423
Phone (818) 946-8600

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
Armen Andreasyan Individual 5% Or Greater Direct Ownership Interest Sep 24, 2021 50%
Corporate OfficerCfo Sep 24, 2021 50%
Corporate DirectorCfo Sep 24, 2021 50%
W-2 Managing EmployeeCfo Sep 24, 2021 50%
Yura Zakaryan Individual 5% Or Greater Direct Ownership Interest Sep 24, 2021 50%
Corporate OfficerCeo Sep 24, 2021 50%
Corporate DirectorCeo Sep 24, 2021 50%
W-2 Managing EmployeeCeo Sep 24, 2021 50%

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1619630068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13731 VENTURA BLVD STE A",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233078",
            "telephone_number": "818-946-8600",
            "fax_number": "818-946-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 VENTURA BLVD STE A",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233078",
            "telephone_number": "818-946-8600",
            "fax_number": "818-946-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN BROTHERS HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "ZAKARYAN",
        "authorized_official_first_name": "YURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-946-8600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.