Anmar Home Health Care Inc – Home Health Agency

Key facts

NPI: 1710587258
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: ANMAR HOME HEALTH CARE INC
Practice address: 10200 Sepulveda Blvd Ste 112
Mission Hills, CA 91345-3325
Phone: (818) 617-9243
Fax: (818) 928-2196
NPI assigned: Oct 26, 2020
Organization subpart: No

Authorized official

Name: Marine Arakelyan
Title: Ceo
Phone: (818) 617-9423

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Deborah Anne Litberg, MSW Clinical Social Worker · Lincoln City, OR · NPI 1639294663

NPD (past)

Medicare Care Compare: Home health agency

Listed as: Anmar Home Health Care, Inc. CCN 559683
Overall star rating: ★★★☆☆ 3 of 5
Ownership: -
Certified: Jan 4, 2022
Medicare certification status: Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Home health agency certification: CCN 559683

Legal name: ANMAR HOME HEALTH CARE INC
Certification status: Active
Provider type (POS): Home health agency
Participating since: Jan 4, 2022
Last certification: Jan 4, 2022
Organization structure: Corporation · Proprietary
Incorporated: Sep 3, 2020 in CA
Enrollment address: 10200 Sepulveda Blvd
Ste 112
Mission Hills, CA 91345-3325

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.

Name	Role	Since	Share
Marine Arakelyan Individual	5% Or Greater Direct Ownership Interest Ceo	Aug 31, 2021	50%
	Corporate Officer Ceo	Aug 31, 2021	50%
	Corporate Director	Aug 31, 2021	50%
	W-2 Managing Employee Ceo	Aug 31, 2021	50%
Azat Chatalyan Individual	5% Or Greater Direct Ownership Interest Cfo	Aug 31, 2021	50%
	Corporate Officer Cfo	Aug 31, 2021	50%
	W-2 Managing Employee Cfo	Aug 31, 2021	50%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20210929000040	CA	Part a Provider - Home Health Agency	9931506250	Practice locations: Mission Hills, CA

National Provider Directory

Locations

10200 Sepulveda Blvd
Ste 112
Mission Hills, CA 91345
Phone (818) 262-9487

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes

Addresses

Primary practice location

10200 Sepulveda Blvd Ste 112
Mission Hills, CA 91345-3325

Mailing address

10200 Sepulveda Blvd Ste 112
Mission Hills, CA 91345-3325
Phone (818) 617-9243

Other providers in Mission Hills, CA

All providers in Mission Hills, CA · Home Health Agency in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.