Organization Active NPI

Socal Home Health Care Inc

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1740913896
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOCAL HOME HEALTH CARE INC
Practice address
12509 Oxnard St Ste 215
North Hollywood, CA 91606-4443
Phone
(747) 285-2124
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Susanna Hajyan
Title
Ceo
Phone
(747) 285-2124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12509 Oxnard St Ste 215
North Hollywood, CA 91606-4443

Mailing address

12509 Oxnard St Ste 215
North Hollywood, CA 91606-4443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220613000067 CA Part A Provider - Home Health Agency 7810375359 Practice locations: North Hollywood, CA

Home health agency certification: CCN 757240

Legal name
SOCAL HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 21, 2023
Last certification
Apr 21, 2023
Organization structure
CorporationProprietary
Incorporated
Jan 27, 2020 in CA
Enrollment address
12509 Oxnard St
Ste 215
North Hollywood, CA 91606-4443

Care Compare: Home health agency

Medicare Care Compare
Listed as
Socal Home Health Care, Inc.CCN 757240
Overall star rating
3.5 of 5
Ownership
-
Certified
Apr 21, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

12509 Oxnard St
Ste 215
North Hollywood, CA 91606
Phone (747) 285-2124

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
Susanna Hajyan Individual 5% Or Greater Direct Ownership InterestCeo Jan 27, 2020 100%
Corporate OfficerCeo Jan 27, 2020 100%
Corporate DirectorCeo Jan 27, 2020 100%
W-2 Managing EmployeeCeo Jan 27, 2020 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": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1740913896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 OXNARD ST STE 215",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12509 OXNARD ST STE 215",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064443",
            "telephone_number": "747-285-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "HAJYAN",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-285-2124"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.