NPIMap

Organization Active NPI

Ararat Home of Los Angeles, Inc.

  • Skilled Nursing Facility
  • Glendale, CA
National Provider Identifier
1649906348
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ARARAT HOME OF LOS ANGELES, INC.
Practice address
1230 E Windsor Rd
Glendale, CA 91205-2656
Phone
(818) 244-7219
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Mr. Derik G. Ghookasian
Title
Chief Operating Officer
Phone
(818) 365-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1230 E Windsor Rd
Glendale, CA 91205-2656

Mailing address

15105 Mission Hills Rd
Mission Hills, CA 91345-1103
Phone (818) 365-3000

Other names 1

  • Ararat Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230131001208 CA Part A Provider - Skilled Nursing Facility 7012136542 Practice locations: Glendale, CA

Skilled nursing facility certification: CCN 555616

Legal name
ARARAT HOME OF LOS ANGELES INC.
Doing business as
ARARAT POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 21, 1994
Last certification
Dec 14, 2024
Beds
28
Ownership / control type
Corporation
Multi-facility organization
Ararat Home of Los Angeles, Inc.
Organization structure
CorporationNon-profit
Incorporated
Sep 29, 1949 in CA
Enrollment address
1230 E Windsor Rd
Glendale, CA 91205-2656
Nursing home name
ARARAT POST ACUTE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ararat Post AcuteCCN 555616
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 21, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2824.1 residents per day on average
Penalties (3 years)
1Fines totaling $41,680

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0556942Ararat Post Acute1230 E Windsor Rd, Glendale, CA 91205Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ararat Home of Los Angeles Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Nadya Verabian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2003
Trustee of the SNF Apr 1, 2003
Haroutioun Diccran Mesrobian Individual Corporate DirectorTrustee/Board Member Apr 1, 2014
Trustee of the SNF Apr 1, 2014
Sinan Sinanian Individual Corporate OfficerChairman Apr 27, 2022
Trustee of the SNF Apr 27, 2022
Harout Raffi Balian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2013
Trustee of the SNF Apr 1, 2013
Berj Shahbazian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2004
Trustee of the SNF Apr 1, 2004
Shahe Boyadjian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2011
Trustee of the SNF Apr 1, 2011
Joseph George Ouzounian Individual Corporate DirectorBoard Member/Trustee Apr 1, 1999
Trustee of the SNF Apr 1, 1999
Deborah Avedian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2010
Trustee of the SNF Apr 1, 2010
Gary E Kaloostian Individual Corporate DirectorBaord Member/Trustee Mar 15, 1987
Trustee of the SNF Mar 15, 1987
Derik Ghookasian Individual Corporate OfficerChief Executive Officer Nov 28, 2015
Meri Antossyan Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Peter S Darakjian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2010
Trustee of the SNF Apr 1, 2010
Arthur H Zabounian Individual Corporate OfficerSecretary Apr 27, 2022
Trustee of the SNF Apr 27, 2022
Joseph H Kanimian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2008
Trustee of the SNF Apr 1, 2008
Takoohi Josephian Individual Corporate DirectorBoard Member/Trustee Feb 24, 2022
Trustee of the SNF Feb 24, 2022
Ronald Nazeley Individual Corporate DirectorBoard Member/Trustee Apr 1, 2009
Trustee of the SNF Apr 1, 2009
Vatche B Bardakjian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2011
Trustee of the SNF Apr 1, 2011
Vahe Vartanian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2014
Trustee of the SNF Apr 1, 2014
Ararat Home of Los Angeles Inc. Organization, Mission Hills, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 28, 2023 100%
Operational/Managerial Control Feb 28, 2023
Adp of the SNF Feb 28, 2023
Nazar H Ashjian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2002
Trustee of the SNF Apr 1, 2002
Aram Youssoufian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2021
Trustee of the SNF Apr 1, 2021
Michael Stephen Surmeian Individual Corporate OfficerTrustee/Board Member Apr 1, 2008
Trustee of the SNF Apr 1, 2008
Varsenik H Keshishyan Individual Operational/Managerial Control Feb 28, 2023
Adp of the SNF Mar 18, 2025
Marguerite Goschin Individual Corporate DirectorBaord Member/Trustee Apr 1, 2011
Trustee of the SNF Apr 1, 2011
Kohar M Pelter Individual Corporate DirectorBoard Member/Trustee Apr 1, 2010
Trustee of the SNF Apr 1, 2010
Rafi Mardoirosian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2012
Trustee of the SNF Apr 1, 2012
Richard J Jebejian Individual Corporate DirectorBoard Member/Trustee Apr 1, 2022
Trustee of the SNF Apr 1, 2022

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ararat Convalescent HospitalLos Angeles, CA, CCN 555126 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 30, 1980
May 30, 1980
Ararat Nursing FacilityMission Hills, CA, CCN 555579 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1993

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1649906348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 MISSION HILLS RD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451103",
            "telephone_number": "818-365-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E WINDSOR RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052656",
            "telephone_number": "818-244-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARARAT HOME OF LOS ANGELES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "GHOOKASIAN",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "818-365-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ararat Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.