Organization Active NPI

Ama Healthcare, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1639635865
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMA HEALTHCARE, INC.
Practice address
14545 Friar St Ste 207
Van Nuys, CA 91411-2398
Phone
(818) 290-3530
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Sona Avedisyan
Title
Ceo
Phone
(818) 290-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 207
Van Nuys, CA 91411-2398

Mailing address

14545 Friar St Ste 207
Van Nuys, CA 91411-2398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191209002794 CA Part A Provider - Home Health Agency 1052744836 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559416

Legal name
AMA HEALTHCARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 24, 2020
Last certification
Oct 24, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 25, 2018 in CA
Enrollment address
14545 Friar St
Ste 207
Van Nuys, CA 91411-2398
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ama Healthcare, IncCCN 559416
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 24, 2020
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

14550 Archwood St
Ste 105
Van Nuys, CA 91405
Phone (818) 290-3530

14545 Friar St
Ste 207
Van Nuys, CA 91411
Phone (818) 290-3088

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
Sona Avedisyan Individual 5% Or Greater Direct Ownership Interest Sep 25, 2018 50%
Corporate OfficerCeo Sep 25, 2018 50%
Corporate DirectorCeo Sep 25, 2018 50%
W-2 Managing EmployeeCeo Sep 25, 2018 50%
Nellie Sarkisyan Individual 5% Or Greater Direct Ownership Interest Sep 25, 2018 50%
Corporate OfficerCfo/Secretary Sep 25, 2018 20%
Corporate DirectorCfo/Secretary Sep 25, 2018 50%
W-2 Managing EmployeeCfo/Secretary Sep 25, 2018 50%

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": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1639635865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398",
            "telephone_number": "818-290-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMA HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "AVEDISYAN",
        "authorized_official_first_name": "SONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-290-3530"
    },
    "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.