Active NPI
Success Home Care
- Home Health Agency
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 121 W Lexington Dr
Ste 402
Glendale, CA 91203-2230
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Success Home Care
- Overall star rating
- Ownership
- -
- Certified
- Jun 2, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Artur Sukiasyan | 5% Or Greater Direct Ownership Interest | Nov 11, 2024 | 25% |
| Corporate Officer | Nov 11, 2024 | 50% | |
| Corporate Director | Nov 11, 2024 | 50% | |
| W-2 Managing Employee | Nov 11, 2024 | 50% | |
| Izabela Tovmasyan | 5% Or Greater Indirect Ownership Interest | Jan 26, 2021 | 100% |
| Anahit Hakobyan | 5% Or Greater Direct Ownership Interest | Nov 11, 2024 | 24% |
| Corporate Officer | Nov 11, 2024 | 50% | |
| Corporate Director | Nov 11, 2024 | 50% | |
| W-2 Managing Employee | Nov 11, 2024 | 50% | |
| Naira Shahinyan | W-2 Managing Employee | Nov 11, 2024 | |
| Til Group | 5% Or Greater Direct Ownership Interest | Nov 11, 2024 | 51% |
| Anna Postikyan | W-2 Managing Employee | Nov 11, 2024 |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1104878073
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.