Organization Active NPI

Onyx Home Health Care Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1740909845
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ONYX HOME HEALTH CARE INC
Practice address
1607 N El Centro Ave Ste 11
Los Angeles, CA 90028-6430
Phone
(213) 723-0904
Fax
(213) 723-0902
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Anna Sisakyan
Title
Ceo
Phone
(213) 723-0904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1607 N El Centro Ave Ste 11
Los Angeles, CA 90028-6430

Mailing address

1607 N El Centro Ave Ste 11
Los Angeles, CA 90028-6430
Phone (213) 723-0904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240617001439 CA Part A Provider - Home Health Agency 1658814876 Practice locations: Los Angeles, CA

Home health agency certification: CCN 757780

Legal name
ONYX HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 13, 2024
Last certification
Nov 13, 2024
Organization structure
CorporationProprietary
Incorporated
in CA
Enrollment address
1607 N El Centro Ave
Ste 11
Los Angeles, CA 90028-6430

Care Compare: Home health agency

Medicare Care Compare
Listed as
Onyx Home Health Care IncCCN 757780 · All quality measures
Ownership
-
Certified
Nov 13, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1607 N El Centro Ave
Ste 11
Los Angeles, CA 90028
Phone (213) 723-0904

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
Anna Sisakyan Individual 5% Or Greater Direct Ownership InterestCeo Jul 28, 2022 100%
Corporate OfficerCeo Jul 28, 2022 100%
Corporate DirectorCeo Jul 28, 2022 100%
W-2 Managing Employee Jul 28, 2022 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": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1740909845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 N EL CENTRO AVE STE 11",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286430",
            "telephone_number": "213-723-0904",
            "fax_number": "213-723-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 N EL CENTRO AVE STE 11",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286430",
            "telephone_number": "213-723-0904",
            "fax_number": "213-723-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYX HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SISAKYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-723-0904"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.