Organization Active NPI

1St Family Home Health, Inc.

  • Home Health Agency
  • Sun Valley, CA
National Provider Identifier
1821606096
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
1ST FAMILY HOME HEALTH, INC.
Practice address
11053 Penrose St Ste a
Sun Valley, CA 91352-5602
Phone
(747) 777-5860
Fax
(747) 777-5861
NPI assigned
Jul 14, 2020
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Ms. Hasmik Ghazarian
Title
Owner, Ceo, Cfo, President
Phone
(818) 939-8585

Specialties & licenses 1

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

Addresses

Primary practice location

11053 Penrose St Ste a
Sun Valley, CA 91352-5602

Mailing address

11053 Penrose St Ste a
Sun Valley, CA 91352-5602
Phone (747) 777-5860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210719003006 CA Part A Provider - Home Health Agency 5890100465 Practice locations: Panorama City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821606096. Details of each certification follow.

Home health agency certification: CCN 559642

Legal name
1ST FAMILY HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 28, 2021
Last certification
Sep 28, 2021
Organization structure
CorporationProprietary
Incorporated
May 18, 2020 in CA
Enrollment address
14621 Titus St
Ste 132
Panorama City, CA 91402-4969

Care Compare: Home health agency

Medicare Care Compare
Listed as
1St Family Home Health, Inc.CCN 559642 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Sep 28, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14621 Titus St
Ste 132
Panorama City, CA 91402
Phone (818) 732-7302

11053 Penrose St
Ste A
Sun Valley, CA 91352
Phone (818) 732-7302

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
Gagik Joe Yeghiazaryan Individual 5% Or Greater Direct Ownership InterestCeo May 18, 2020 100%
Corporate OfficerCeo May 18, 2020 100%
Corporate DirectorCeo May 18, 2020 100%
W-2 Managing EmployeeCeo May 18, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1821606096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11053 PENROSE ST STE A",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525602",
            "telephone_number": "747-777-5860",
            "fax_number": "747-777-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11053 PENROSE ST STE A",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525602",
            "telephone_number": "747-777-5860",
            "fax_number": "747-777-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST FAMILY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "GHAZARIAN",
        "authorized_official_first_name": "HASMIK",
        "authorized_official_title_or_position": "OWNER, CEO, CFO, PRESIDENT",
        "authorized_official_telephone_number": "818-939-8585",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

Verify at the official NPI Registry.