Organization Active NPI

Trinity Home Health Care, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1801354691
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRINITY HOME HEALTH CARE, INC.
Practice address
19531 Ventura Blvd Ste 15
Tarzana, CA 91356-2957
Phone
(818) 514-0573
NPI assigned
Mar 11, 2019
Last updated
Mar 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Beniamin Hekimyan
Title
Ceo
Phone
(818) 514-0573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

19531 Ventura Blvd Ste 15
Tarzana, CA 91356-2957

Mailing address

19531 Ventura Blvd Ste 15
Tarzana, CA 91356-2957

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200410000131 CA Part A Provider - Home Health Agency 5294164307 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801354691. Details of each certification follow.

Home health agency certification: CCN 559281

Legal name
TRINITY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 16, 2020
Last certification
Jun 16, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
7100 Hayvenhurst Ave
Ste 309
Van Nuys, CA 91406-3874

Care Compare: Home health agency

Medicare Care Compare
Listed as
Trinity Home Health Care, IncCCN 559281 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 16, 2020
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

19531 Ventura Blvd
Ste 15
Tarzana, CA 91356
Phone (818) 514-0573

7100 Hayvenhurst Ave
Ste 309
Van Nuys, CA 91406
Phone (818) 946-8242

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
Astgek Gabriyelyan Individual W-2 Managing EmployeeAd;DPCS Apr 1, 2026
Liana Avetisyan Individual 5% Or Greater Direct Ownership InterestOwner Dec 5, 2018 100%
Corporate OfficerCeo-Chairman of Board Dec 5, 2018 100%
Corporate DirectorCeo Dec 5, 2018 100%
W-2 Managing EmployeeCeo Dec 5, 2018 100%
Operational/Managerial ControlCeo Dec 5, 2018 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1801354691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19531 VENTURA BLVD STE 15",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19531 VENTURA BLVD STE 15",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562957",
            "telephone_number": "818-514-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "HEKIMYAN",
        "authorized_official_first_name": "BENIAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-514-0573"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.