Organization Active NPI

Main Line Home Health, Inc.

  • Home Health Agency
  • La Crescenta, CA
National Provider Identifier
1760143309
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAIN LINE HOME HEALTH, INC.
Practice address
4502 Dyer St Ste 202
La Crescenta, CA 91214-2869
Phone
(323) 628-6622
Fax
(323) 628-6622
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Ms. Kristina Dalar Tahmasyan
Title
Ceo
Phone
(323) 628-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4502 Dyer St Ste 202
La Crescenta, CA 91214-2869

Mailing address

4502 Dyer St Ste 202
La Crescenta, CA 91214-2869
Phone (323) 628-6622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230516000752 CA Part A Provider - Home Health Agency 8022474113 Practice locations: Encino, CA

Home health agency certification: CCN 757617

Legal name
MAIN LINE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 4, 2024
Last certification
Feb 22, 2024
Organization structure
CorporationProprietary
Enrollment address
16200 Ventura Blvd
Ste 408
Encino, CA 91436-4698

Care Compare: Home health agency

Medicare Care Compare
Listed as
Main Line Home Health, IncCCN 757617
Overall star rating
3.5 of 5
Ownership
-
Certified
Mar 4, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2319583Main Line Home Health, Inc16200 Ventura Blvd, Encino, CA 91436Certificate of waiverMar 3, 2027

National Provider Directory

National Provider Directory

Locations

16200 Ventura Blvd
Ste 408
Encino, CA 91436
Phone (323) 628-6622

4502 Dyer St
Ste 202
La Crescenta, CA 91214
Phone (323) 628-6622

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kristina Tahmasyan Individual 5% Or Greater Direct Ownership InterestCeo/Res/Cfo/Sec/49% Direct Owner Aug 1, 2025 49%
Corporate OfficerCeo/Res/Cfo/Sec/49% Direct Owner Aug 1, 2025 49%
Corporate DirectorCeo/Res/Cfo/Sec/49% Direct Owner Aug 1, 2025 49%
W-2 Managing EmployeeCeo/Res/Cfo/Sec/49% Direct Owner Aug 1, 2025 49%
Harutyun D Arzumanyan Individual 5% Or Greater Direct Ownership Interest Nov 7, 2024 51%
Corporate Officer51% Owner Nov 7, 2024 51%
Corporate Director51% Owner Nov 7, 2024 51%
W-2 Managing Employee51% Owner Nov 7, 2024 51%

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": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1760143309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 DYER ST STE 202",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142869",
            "telephone_number": "323-628-6622",
            "fax_number": "323-628-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 DYER ST STE 202",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142869",
            "telephone_number": "323-628-6622",
            "fax_number": "323-628-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "TAHMASYAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "DALAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-628-6622",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.