Organization Active NPI

Success Home Care

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1700478336
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUCCESS HOME CARE
Practice address
7017 Van Nuys Blvd Ste 5
Van Nuys, CA 91405-3095
Phone
(747) 297-2204
NPI assigned
Feb 4, 2021
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Izabela Tovmasyan
Title
Ceo
Phone
(747) 297-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7017 Van Nuys Blvd Ste 5
Van Nuys, CA 91405-3095

Mailing address

7017 Van Nuys Blvd Ste 5
Van Nuys, CA 91405-3095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210506002655 CA Part A Provider - Home Health Agency 6103235981 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700478336. Details of each certification follow.

Home health agency certification: CCN 757307

Legal name
SUCCESS HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 2, 2023
Last certification
Jun 1, 2023
Organization structure
CorporationProprietary
Enrollment address
121 W Lexington Dr
Ste 402
Glendale, CA 91203-2230

Care Compare: Home health agency

Medicare Care Compare
Listed as
Success Home CareCCN 757307 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Jun 2, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

121 W Lexington Dr
Ste 402
Glendale, CA 91203
Phone (747) 297-2204

7017 Van Nuys Blvd
Ste 5
Van Nuys, CA 91405
Phone (747) 297-2204

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Artur Sukiasyan Individual 5% Or Greater Direct Ownership Interest Nov 11, 2024 25%
Corporate OfficerCeo/Secretary/Board Director Nov 11, 2024 50%
Corporate DirectorCeo/Secretary/Board Director Nov 11, 2024 50%
W-2 Managing EmployeeCeo/Secretary/Board Director Nov 11, 2024 50%
Izabela Tovmasyan Individual 5% Or Greater Indirect Ownership Interest Jan 26, 2021 100%
Anahit Hakobyan Individual 5% Or Greater Direct Ownership Interest Nov 11, 2024 24%
Corporate OfficerCfo/Board Director Nov 11, 2024 50%
Corporate DirectorCfo/Board Director Nov 11, 2024 50%
W-2 Managing EmployeeCfo/Board Director Nov 11, 2024 50%
Naira Shahinyan Individual W-2 Managing EmployeeAd;Deignee/DPCS Designee Nov 11, 2024
Til Group Organization, Van Nuys, CA Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 11, 2024 51%
Anna Postikyan Individual W-2 Managing EmployeeAd;DPCS Nov 11, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1700478336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 VAN NUYS BLVD STE 5",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 VAN NUYS BLVD STE 5",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053095",
            "telephone_number": "747-297-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "TOVMASYAN",
        "authorized_official_first_name": "IZABELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-297-2204"
    },
    "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.