Organization Active NPI

Senior Safe Home Health, Inc.

  • Home Health Agency
  • San Bernardino, CA
National Provider Identifier
1649898586
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENIOR SAFE HOME HEALTH, INC.
Practice address
1264 S Waterman Ave Ste 58
San Bernardino, CA 92408-2851
Phone
(909) 791-1010
Fax
(909) 791-1011
NPI assigned
Jul 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Ms. Hasmik Ghazarian
Title
Owner, Ceo, Cfo, President
Phone
(909) 791-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1264 S Waterman Ave Ste 58
San Bernardino, CA 92408-2851

Mailing address

1264 S Waterman Ave Ste 58
San Bernardino, CA 92408-2851
Phone (909) 791-1010

Other names 1

  • Senior Safe Home Health, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220401000911 CA Part A Provider - Home Health Agency 7618363532 Practice locations: Arcadia, CA

Home health agency certification: CCN 757277

Legal name
SENIOR SAFE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2022
Last certification
Aug 18, 2022
Organization structure
CorporationProprietary
Incorporated
May 18, 2020 in CA
Enrollment address
444 E Huntington Dr
Ste 211
Arcadia, CA 91006-6204

Care Compare: Home health agency

Medicare Care Compare
Listed as
Senior Safe Home Health, IncCCN 757277
Overall star rating
4 of 5
Ownership
-
Certified
Oct 17, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

444 E Huntington Dr
Ste 211
Arcadia, CA 91006
Phone (909) 791-1010

1264 S Waterman Ave
Ste 58
San Bernardino, CA 92408
Phone (909) 791-1010

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Tatevik Abazyan Individual 5% Or Greater Direct Ownership Interest Jan 25, 2022 100%
Corporate Officer Jan 25, 2022
Corporate Director Jan 25, 2022
W-2 Managing Employee Jan 25, 2022
Operational/Managerial Control Jan 25, 2022

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": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1649898586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE STE 58",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082851",
            "telephone_number": "909-791-1010",
            "fax_number": "909-791-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE STE 58",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082851",
            "telephone_number": "909-791-1010",
            "fax_number": "909-791-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SAFE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "GHAZARIAN",
        "authorized_official_first_name": "HASMIK",
        "authorized_official_title_or_position": "OWNER, CEO, CFO, PRESIDENT",
        "authorized_official_telephone_number": "909-791-1010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Safe Home Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.