Organization Active NPI

Nika Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1669947404
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NIKA HOME HEALTH, INC.
Practice address
14545 Friar St Ste 202E
Van Nuys, CA 91411-2398
Phone
(818) 306-7557
NPI assigned
Oct 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Authorized official

Name
Mikael Ayrapetyan
Title
Ceo
Phone
(818) 306-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 202E
Van Nuys, CA 91411-2398

Mailing address

14545 Friar St Ste 202E
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
O20191108001980 CA Part A Provider - Home Health Agency 5991137119 Practice locations: Glendale, CA

Home health agency certification: CCN 559293

Legal name
NIKA HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 11, 2020
Last certification
Jul 11, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 8, 2018 in CA
Enrollment address
1241 S Glendale Ave
Ste 202B
Glendale, CA 91205-3388

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nika Home Health, IncCCN 559293
Ownership
Proprietary
Certified
Jul 11, 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

14545 Friar St
Ste 202E
Van Nuys, CA 91411
Phone (818) 306-7557

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
Mikael Ayrapetyan Individual 5% Or Greater Direct Ownership Interest May 8, 2018 51%
Corporate OfficerCeo/Cfo/Secretary May 8, 2018 100%
Corporate DirectorCeo/Cfo/Secretary May 8, 2018 100%
W-2 Managing EmployeeCeo/Cfo/Secretary May 8, 2018 100%
Anthony H Sahakian Individual 5% Or Greater Direct Ownership Interest Oct 21, 2021 49%
Corporate Officer Oct 21, 2001 100%
Corporate Director Oct 21, 2021 100%
W-2 Managing Employee Oct 21, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1669947404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 202E",
            "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 202E",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398",
            "telephone_number": "818-306-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "AYRAPETYAN",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-306-7557"
    },
    "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.