Organization Active NPI

Habko Home Health Care, Inc.

  • Home Health Agency
  • Encino, CA
National Provider Identifier
1669071056
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HABKO HOME HEALTH CARE, INC.
Practice address
15720 Ventura Blvd Ste 235
Encino, CA 91436-2914
Phone
(818) 616-1888
Fax
(818) 616-1889
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Mr. Arutyun Balyan
Title
Owner, Ceo, Cfo, President
Phone
(818) 616-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15720 Ventura Blvd Ste 235
Encino, CA 91436-2914

Mailing address

15720 Ventura Blvd Ste 235
Encino, CA 91436-2914
Phone (818) 616-1888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210817000080 CA Part A Provider - Home Health Agency 9234534108 Practice locations: Encino, CA

Home health agency certification: CCN 757094

Legal name
HABKO HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 21, 2022
Last certification
Sep 9, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 2, 2020 in CA
Enrollment address
15720 Ventura Blvd
Ste 235
Encino, CA 91436-2978

Care Compare: Home health agency

Medicare Care Compare
Listed as
Habko Home Health Care, Inc.CCN 757094 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 21, 2022
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

15720 Ventura Blvd
Ste 235
Encino, CA 91436
Phone (818) 616-1888

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
Arutyun Balyan Individual 5% Or Greater Direct Ownership InterestOwner Jul 2, 2020 100%
Corporate OfficerCeo, Cfo Jul 2, 2020 100%
Corporate DirectorBoard Member, President Jul 2, 2020 100%
W-2 Managing EmployeeBoard Member, President Jul 2, 2020 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1669071056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 235",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "818-616-1888",
            "fax_number": "818-616-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 235",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "818-616-1888",
            "fax_number": "818-616-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABKO HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "BALYAN",
        "authorized_official_first_name": "ARUTYUN",
        "authorized_official_title_or_position": "OWNER, CEO, CFO, PRESIDENT",
        "authorized_official_telephone_number": "818-616-1888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.