911 Am PM Home Health Care, Inc. – Home Health Agency

Key facts

NPI: 1649870205
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: 911 AM PM HOME HEALTH CARE, INC.
Practice address: 15826 Ventura Blvd Ste 222
Encino, CA 91436-5226
Phone: (747) 666-0603
NPI assigned: Oct 31, 2020
Organization subpart: No

Authorized official

Name: Piruz Ter-Grigorian
Title: Ceo
Phone: (747) 666-0603

Medicare Care Compare: Home health agency

Listed as: 911 Am PM Home Health Care, Inc. CCN 757505
Overall star rating: ★★☆☆☆ 1.5 of 5
Ownership: -
Certified: Jun 29, 2022
Medicare certification status: Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
05D2338996	911 Am PM Home Health Care Inc 7601 Canby Ave Suite 8, Reseda, CA 91335	Certificate of waiver	Feb 19, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Home health agency certification: CCN 757505

Legal name: 911 AM PM HOME HEALTH CARE INC
Certification status: Active
Provider type (POS): Home health agency
Participating since: Jun 29, 2022
Last certification: Jun 22, 2022
Organization structure: Corporation · Proprietary
Enrollment address: 7601 Canby Ave
Ste 8
Reseda, CA 91335-2973

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Name	Role	Since	Share
Ashot Safaryan Individual	5% Or Greater Direct Ownership Interest Ceo	Jul 24, 2025	100%
	Corporate Officer Ceo	Jul 24, 2025	100%
	Corporate Director Ceo	Jul 24, 2025	100%
	W-2 Managing Employee Ceo	Jul 24, 2025	100%
Kenneth B Rivera Individual	W-2 Managing Employee Admin Designee	Apr 1, 2026
Venus R Manzon Individual	W-2 Managing Employee Ad;DPCS	Apr 1, 2026

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20220405000139	CA	Part a Provider - Home Health Agency	5496141228	Practice locations: Reseda, CA

National Provider Directory

Locations

15826 Ventura Blvd
Ste 222
Encino, CA 91436
Phone (747) 666-0603

7601 Canby Ave
Ste 8
Reseda, CA 91335
Phone (747) 666-0608

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes

Addresses

Primary practice location

15826 Ventura Blvd Ste 222
Encino, CA 91436-5226

Mailing address

15826 Ventura Blvd Ste 222
Encino, CA 91436-5226
Phone (747) 666-0603

Other providers in Encino, CA

All providers in Encino, CA · Home Health Agency in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.