Organization Active NPI

Teamone Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1750929428
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TEAMONE HOME HEALTH INC
Practice address
14545 Friar St Ste 166
Van Nuys, CA 91411-2397
Phone
(818) 453-3816
Fax
(949) 966-0535
NPI assigned
Dec 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Davit Ghrjyan
Title
Ceo
Phone
(818) 453-3816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 166
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 166
Van Nuys, CA 91411-2397
Phone (818) 453-3816

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200909001779 CA Part A Provider - Home Health Agency 9537587449 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757043

Legal name
TEAMONE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 2, 2021
Last certification
Dec 2, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 11, 2019 in CA
Enrollment address
14545 Friar St
Ste 166
Van Nuys, CA 91411-2397
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Teamone Home Health IncCCN 757043
Ownership
Proprietary
Certified
Dec 2, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 166
Van Nuys, CA 91411
Phone (818) 453-3816

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
Aleksandr Martirosian Individual 5% Or Greater Direct Ownership InterestCeo Nov 11, 2019 100%
Corporate OfficerCeo Nov 11, 2019 100%
Corporate DirectorCeo Nov 11, 2019 100%
W-2 Managing EmployeeCeo Nov 11, 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": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1750929428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 166",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-453-3816",
            "fax_number": "949-966-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 166",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-453-3816",
            "fax_number": "949-966-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMONE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "GHRJYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-453-3816"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.