Organization Active NPI

Primary Selection Home Health Care, Inc

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1821668443
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIMARY SELECTION HOME HEALTH CARE, INC
Practice address
15125 Ventura Blvd Ste 2-28
Sherman Oaks, CA 91403-3306
Phone
(747) 666-1677
NPI assigned
Jun 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Authorized official

Name
Ani Aleksanyan
Title
Ceo/Cfo/Secretary
Phone
(747) 666-1677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15125 Ventura Blvd Ste 2-28
Sherman Oaks, CA 91403-3306

Mailing address

15125 Ventura Blvd Ste 2-28
Sherman Oaks, CA 91403-3306
Phone (747) 666-1677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231117000568 CA Part A Provider - Home Health Agency 1658728316 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757640

Legal name
PRIMARY SELECTION HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 16, 2024
Last certification
Mar 28, 2024
Organization structure
CorporationProprietary
Enrollment address
14531 Hamlin St
Ste 135
Van Nuys, CA 91411-4125

Care Compare: Home health agency

Medicare Care Compare
Listed as
Primary Selection Home Health Care, Inc.CCN 757640 ยท All quality measures
Ownership
-
Certified
Apr 16, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

15125 Ventura Blvd
Ste 228
Sherman Oaks, CA 91403
Phone (747) 666-1677

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
Ani Aleksanyan Individual 5% Or Greater Direct Ownership InterestN/a Jun 4, 2021 100%
Corporate OfficerCeo/Cfo/Board Member/Secretary Jun 4, 2021 100%
Corporate DirectorCeo/Cfo/Board Member/Secretary Jun 4, 2021 100%
W-2 Managing EmployeeCeo/Cfo/Board Member/Secretary May 3, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624665600000",
    "number": "1821668443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD STE 2-28",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "747-666-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD STE 2-28",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "747-666-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY SELECTION HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-26",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A",
        "authorized_official_last_name": "ALEKSANYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY",
        "authorized_official_telephone_number": "747-666-1677"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.