Active NPI
Savanna Home Care, Inc.
- Home Health Agency
- Reseda, CA
National Provider Identifier
1730753161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SAVANNA HOME CARE, INC.
- Practice address
- 6949 Reseda Blvd Unit 201D
Reseda, CA 91335-8537 - Phone
- (818) 654-6101
- Fax
- (818) 697-9262
- NPI assigned
- May 19, 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
- Gagik Mkrtchyan
- Title
- Ceo
- Phone
- (818) 654-6101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6949 Reseda Blvd Unit 201D
Reseda, CA 91335-8537
Mailing address
6949 Reseda Blvd Unit 201D
Reseda, CA 91335-8537
Phone (818) 654-6101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210623000135 | CA | Part A Provider - Home Health Agency | 2668873043 | Practice locations: Reseda, CA |
Home health agency certification: CCN 757140
- Legal name
- SAVANNA HOME CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 16, 2022
- Last certification
- Dec 16, 2022
- Organization structure
- Corporation
- Incorporated
- May 11, 2021 in CA
- Enrollment address
- 6949 Reseda Blvd
Unit 201D
Reseda, CA 91335-8537
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Savanna Home Care, Inc
- Overall star rating
- Ownership
- -
- Certified
- Dec 16, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2287067 | Savanna Home Care, Inc | Certificate of waiver | Aug 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
6949 Reseda Blvd
Unit 201D
Reseda, CA 91335
Phone (818) 213-0562
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 |
|---|---|---|---|
| Gagik Mkrtchyan | 5% Or Greater Direct Ownership Interest | May 11, 2021 | 100% |
| Corporate Officer | May 11, 2021 | 100% | |
| Corporate Director | May 11, 2021 | 100% | |
| W-2 Managing Employee | May 11, 2021 | 100% | |
| Operational/Managerial Control | May 11, 2021 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1621382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1730753161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6949 RESEDA BLVD UNIT 201D",
"city": "RESEDA",
"state": "CA",
"postal_code": "913358537",
"telephone_number": "818-654-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6949 RESEDA BLVD UNIT 201D",
"city": "RESEDA",
"state": "CA",
"postal_code": "913358537",
"telephone_number": "818-654-6101",
"fax_number": "818-697-9262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVANNA HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-19",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "MKRTCHYAN",
"authorized_official_first_name": "GAGIK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-654-6101"
},
"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 Jun 2, 2026; 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.