Age Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AGE HOME HEALTH CARE

Practice address

16430 Vanowen St Ste 206
Lake Balboa, CA 91406-4729

Phone

(747) 245-9822

NPI assigned

May 17, 2021

Last updated

May 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gurgen Sargsyan

Title

Ceo

Phone

(747) 245-9822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740854454. Details of each certification follow.

• CCN 757864 Home health agency · Active · Details

Home health agency certification: CCN 757864

Legal name

AGE HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 12, 2025

Last certification

Feb 28, 2025

Organization structure

CorporationProprietary

Enrollment address

16430 Vanowen St
Unit 206
Van Nuys, CA 91406-4729

Listed as

Age Home Health CareCCN 757864 · All quality measures

Ownership

-

Certified

Mar 12, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

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

• Alejandro Esteban Gil, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1417951963

  Home health agency

  Care Compare affiliation
• James Anthony Michail, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Granada Hills, CA
  • NPI 1760879217

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1740854454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 VANOWEN ST STE 206",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914064729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 VANOWEN ST STE 206",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914064729",
            "telephone_number": "747-245-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "GURGEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-245-9822"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Age Hospice Care
• Raquel Agmon, OTR/L
• Cristina Aguirre, MS
• Albert Melikyan DDS, Inc.
• Anna's Wonderland

• Home Health Agency in Lake Balboa, CA
• Providers in Lake Balboa, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.

Verify at the official NPI Registry.