Organization Active NPI

Northstar Home Health, Inc.

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1720664683
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHSTAR HOME HEALTH, INC.
Practice address
14242 Ventura Blvd Ste 205
Sherman Oaks, CA 91423-2757
Phone
(818) 588-4908
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Ruben Garibyan
Title
Owner
Phone
(818) 588-4908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14242 Ventura Blvd Ste 205
Sherman Oaks, CA 91423-2757

Mailing address

14242 Ventura Blvd Ste 205
Sherman Oaks, CA 91423-2757
Phone (818) 588-4908

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006002472 CA Part A Provider - Home Health Agency 5294144358 Practice locations: Sherman Oaks, CA

Home health agency certification: CCN 757144

Legal name
NORTHSTAR HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 23, 2022
Last certification
Sep 23, 2022
Organization structure
CorporationProprietary
Incorporated
Mar 15, 2019 in CA
Enrollment address
14242 Ventura Blvd
Ste 205
Sherman Oaks, CA 91423-2757
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Northstar Home Health, Inc.CCN 757144
Overall star rating
2.5 of 5
Ownership
-
Certified
Sep 23, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
Kristine Ogandzhanyan Individual 5% Or Greater Direct Ownership InterestCeo Mar 15, 2019 100%
Corporate OfficerCeo- Chairmen of the Board Mar 15, 2019 100%
Corporate DirectorCeo Mar 15, 2019 100%
W-2 Managing EmployeeCeo Mar 15, 2019 100%
Operational/Managerial ControlCeo Mar 15, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1720664683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14242 VENTURA BLVD STE 205",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232757",
            "telephone_number": "818-588-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14242 VENTURA BLVD STE 205",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232757",
            "telephone_number": "818-588-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "GARIBYAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-588-4908"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.