NPIMap

Organization Active NPI

Granada Hills Home Health Care Inc

  • Home Health Agency
  • Granada Hills, CA
National Provider Identifier
1629639927
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRANADA HILLS HOME HEALTH CARE INC
Practice address
17715 Chatsworth St Ste 111
Granada Hills, CA 91344-5665
Phone
(818) 900-2020
Fax
(818) 900-4040
NPI assigned
Jun 26, 2019
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Khatun Karamusyan
Title
President
Phone
(818) 900-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

17715 Chatsworth St Ste 111
Granada Hills, CA 91344-5665

Mailing address

17715 Chatsworth St Ste 111
Granada Hills, CA 91344-5665
Phone (818) 900-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210202001937 CA Part A Provider - Home Health Agency 5597179523 Practice locations: Northridge, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629639927. Details of each certification follow.

Home health agency certification: CCN 559511

Legal name
GRANADA HILLS HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 12, 2021
Last certification
Apr 12, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
9221 Corbin Ave
Ste 245
Northridge, CA 91324-1685

Care Compare: Home health agency

Medicare Care Compare
Listed as
Granada Hills Home Health Care, IncCCN 559511 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 12, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

9221 Corbin Ave
Ste 245
Northridge, CA 91324
Phone (818) 900-2020

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
Torgom Tommy Harutunyan Individual W-2 Managing EmployeeAd;DPCS Jun 1, 2026
Gohar Artemyan Individual 5% Or Greater Direct Ownership Interest Aug 15, 2024 100%
Corporate OfficerCeo/Cfo/Sec/Board Member Aug 15, 2024 100%
Corporate DirectorCeo/Cfo/Sec/Board Member Aug 15, 2024 100%
W-2 Managing EmployeeCeo/Cfo/Sec/Board Member Aug 15, 2024 100%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1629639927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17715 CHATSWORTH ST STE 111",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445665",
            "telephone_number": "818-900-2020",
            "fax_number": "818-900-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17715 CHATSWORTH ST STE 111",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445665",
            "telephone_number": "818-900-2020",
            "fax_number": "818-900-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA HILLS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "KARAMUSYAN",
        "authorized_official_first_name": "KHATUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-900-2020"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.