Organization Active NPI

Californian Home Health Care, Inc

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1710564703
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 25, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 757084
Ownership
Proprietary
Certified
Oct 18, 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

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.

NameRoleSinceShare
Robert Sarukhanyan Individual 5% Or Greater Direct Ownership InterestCeo Feb 16, 2021 100%
Corporate OfficerCeo Feb 16, 2021 100%
Corporate DirectorCeo Feb 16, 2021 100%
W-2 Managing EmployeeCeo 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

Verify at the official NPI Registry.