Organization Active NPI

An Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1629675384
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AN HOME HEALTH CARE, INC.
Practice address
14545 Friar St Ste 315
Van Nuys, CA 91411-2397
Phone
(818) 809-2272
NPI assigned
Oct 6, 2020
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Ani Hovhannisyan
Title
Ceo
Phone
(818) 809-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 315
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 315
Van Nuys, CA 91411-2397
Phone (818) 809-2272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210812000499 CA Part A Provider - Home Health Agency 0446654461 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629675384. Details of each certification follow.

Home health agency certification: CCN 559705

Legal name
AN HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2021
Last certification
Oct 21, 2021
Organization structure
CorporationProprietary
Incorporated
Sep 18, 2020 in CA
Enrollment address
7220 Woodman Ave
Ste 207a
Van Nuys, CA 91405-2668

Care Compare: Home health agency

Medicare Care Compare
Listed as
An Home Health Care, IncCCN 559705 · All quality measures
Overall star rating
3.5 of 5
Ownership
-
Certified
Oct 21, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 315
Van Nuys, CA 91411
Phone (818) 809-2272

7220 Woodman Ave
Ste 207A
Van Nuys, CA 91405
Phone (818) 809-2273

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
Arpine Movsisyan Individual 5% Or Greater Direct Ownership Interest May 25, 2023 49%
Corporate OfficerCeo/President/Cfo/Secretary/Boar May 25, 2023 49%
Corporate DirectorCeo/President/Cfo/Secretary/Boar May 25, 2023 49%
W-2 Managing EmployeeCeo/President/Cfo/Secretary/Boar May 25, 2023 49%
Ani Hovhannisyan Individual 5% Or Greater Direct Ownership InterestCeo May 25, 2023 51%
Corporate OfficerBoard Member/51% Owner May 25, 2023 51%
Corporate DirectorBoard Member/51% Owner May 25, 2023 51%
W-2 Managing EmployeeBoard Member/51% Owner May 25, 2023 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": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1629675384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 315",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-809-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 315",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-809-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-809-2273"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.