Organization Active NPI

Anmar Home Health Care Inc

  • Home Health Agency
  • Mission Hills, CA
National Provider Identifier
1710587258
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 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
Last updated
Oct 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210929000040 CA Part A Provider - Home Health Agency 9931506250 Practice locations: Mission Hills, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710587258. Details of each certification follow.

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
CorporationProprietary
Incorporated
Sep 3, 2020 in CA
Enrollment address
10200 Sepulveda Blvd
Ste 112
Mission Hills, CA 91345-3325

Care Compare: Home health agency

Medicare Care Compare
Listed as
Anmar Home Health Care, Inc.CCN 559683 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Jan 4, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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

Ownership & related parties

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.

NameRoleSinceShare
Marine Arakelyan Individual 5% Or Greater Direct Ownership InterestCeo Aug 31, 2021 50%
Corporate OfficerCeo Aug 31, 2021 50%
Corporate Director Aug 31, 2021 50%
W-2 Managing EmployeeCeo Aug 31, 2021 50%
Azat Chatalyan Individual 5% Or Greater Direct Ownership InterestCfo Aug 31, 2021 50%
Corporate OfficerCfo Aug 31, 2021 50%
W-2 Managing EmployeeCfo Aug 31, 2021 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1710587258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD STE 112",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913453325",
            "telephone_number": "818-617-9243",
            "fax_number": "818-928-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD STE 112",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913453325",
            "telephone_number": "818-617-9243",
            "fax_number": "818-928-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANMAR HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "ARAKELYAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-617-9423"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.