Organization Active NPI

Artemis Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1811549439
Registry record updated Jul 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARTEMIS HOME HEALTH, INC.
Practice address
14540 Victory Blvd Ste 202
Van Nuys, CA 91411-1600
Phone
(818) 390-7734
Fax
(714) 540-7227
NPI assigned
Jul 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2019

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

Authorized official

Name
Arsen Poghosyan
Title
Ceo
Phone
(818) 390-7734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14540 Victory Blvd Ste 202
Van Nuys, CA 91411-1600

Mailing address

14540 Victory Blvd Ste 202
Van Nuys, CA 91411-1600
Phone (818) 390-7734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200410000836 CA Part A Provider - Home Health Agency 6901235035 Practice locations: Glendale, CA

Home health agency certification: CCN 559330

Legal name
ARTEMIS HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 12, 2020
Last certification
Oct 12, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 22, 2019 in CA
Enrollment address
600 W Broadway
Ste 225
Glendale, CA 91204-1021

Care Compare: Home health agency

Medicare Care Compare
Listed as
Artemis Home Health, IncCCN 559330 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 12, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2266695Artemis Home Health, Inc.600 W Broadway Ste 225, Glendale, CA 91204Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Locations

600 W Broadway
Ste 225
Glendale, CA 91204
Phone (818) 748-3500

14540 Victory Blvd
Ste 202
Van Nuys, CA 91411
Phone (818) 390-7734

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
Arsen Poghosyan Individual 5% Or Greater Direct Ownership InterestCeo Jul 25, 2019 100%
Corporate OfficerCeo Jul 25, 2019 100%
Corporate DirectorCeo Jul 25, 2019 100%
W-2 Managing EmployeeCeo Jul 25, 2019 100%
Operational/Managerial ControlCeo Jul 25, 2019 100%

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562976000000",
    "number": "1811549439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 VICTORY BLVD STE 202",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111600",
            "telephone_number": "818-390-7734",
            "fax_number": "714-540-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 VICTORY BLVD STE 202",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111600",
            "telephone_number": "818-390-7734",
            "fax_number": "714-540-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEMIS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-13",
        "last_updated": "2019-07-13",
        "status": "A",
        "authorized_official_last_name": "POGHOSYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-390-7734"
    },
    "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.