Active NPI
Californian Home Health Care, Inc
- Home Health Agency
- Reseda, CA
National Provider Identifier
1710564703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CALIFORNIAN HOME HEALTH CARE, INC
- Practice address
- 6850 Canby Ave Ste 109
Reseda, CA 91335-8700 - Phone
- (747) 609-7409
- NPI assigned
- Mar 25, 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
- Robert Sarukhanyan
- Title
- Ceo
- Phone
- (747) 609-7409
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6850 Canby Ave Ste 109
Reseda, CA 91335-8700
Mailing address
6850 Canby Ave Ste 109
Reseda, CA 91335-8700
Phone (747) 609-7409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220411000293 | CA | Part A Provider - Home Health Agency | 4789070285 | Practice locations: Reseda, CA |
Home health agency certification: CCN 757084
- Legal name
- CALIFORNIAN HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 18, 2022
- Last certification
- Oct 18, 2022
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Feb 16, 2021 in CA
- Enrollment address
- 6850 Canby Ave
Ste 109
Reseda, CA 91335-8700
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Californian Home Health Care, Inc
- Ownership
- Proprietary
- Certified
- Oct 18, 2022
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
6850 Canby Ave
Ste 109
Reseda, CA 91335
Phone (747) 609-7409
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Sarukhanyan | 5% Or Greater Direct Ownership Interest | Feb 16, 2021 | 100% |
| Corporate Officer | Feb 16, 2021 | 100% | |
| Corporate Director | Feb 16, 2021 | 100% | |
| W-2 Managing Employee | Feb 16, 2021 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616630400000",
"number": "1710564703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 CANBY AVE STE 109",
"city": "RESEDA",
"state": "CA",
"postal_code": "913358700",
"telephone_number": "747-609-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 CANBY AVE STE 109",
"city": "RESEDA",
"state": "CA",
"postal_code": "913358700",
"telephone_number": "747-609-7409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIAN HOME HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-25",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A",
"authorized_official_last_name": "SARUKHANYAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-609-7409"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.