HG Home Care Inc
Organization Active NPI Home Health Agency · N Hollywood, CA
NPI 1831423102 · NPPES record last updated Jun 9, 2022
Key facts
- NPI
- 1831423102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 550000939 (CA)
- Legal business name
- HG HOME CARE INC
- Practice address
- 6422 Bellingham Ave Ste 207
N Hollywood, CA 91606-1438 - Phone
- (818) 851-6057
- Fax
- (818) 806-0088
- NPI assigned
- Sep 19, 2009
- Organization subpart
- No
Authorized official
- Name
- Hovhannes Mkrtchyan
- Title
- President/Ceo
- Phone
- (818) 556-3321
Corporate family (same tax ID) 1
Affiliated clinicians 2
-
Ariel Monsanto Gavino, M.D.
-
Samra Vazirian, MD
Medicare Care Compare: Home health agency
- Listed as
- HG Home Care, Inc
- Overall star rating
- ★★☆☆☆ 2 of 5
- Ownership
- Proprietary
- Certified
- Jul 15, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2285815 | HG Home Care Inc | Certificate of waiver | Jul 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 059352
- Legal name
- HG HOME CARE INC
- Doing business as
- VALENCIA HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 15, 2011
- Last certification
- Jun 12, 2017
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 6422 Bellingham Ave
Ste 207
North Hollywood, CA 91606-1438
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Suzanna Tamazova |
5% Or Greater Direct Ownership Interest |
Dec 3, 2025 | 100% |
| Corporate Officer |
Dec 3, 2025 | 100% | |
| Corporate Director |
Dec 3, 2025 | 100% | |
| W-2 Managing Employee |
Dec 3, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080104000331 | CA | Part a Provider - Home Health Agency | 0345320248 | Practice locations: North Hollywood, CA |
National Provider Directory
- Tax ID family
- HG Home Care Inc
Locations
1508 W Verdugo Ave
Ste B
Burbank, CA 91506
Phone (818) 556-3321
6422 Bellingham Ave
Ste 207
North Hollywood, CA 91606
Phone (818) 851-6057
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000939 | CA | Yes |
Addresses
Primary practice location
6422 Bellingham Ave Ste 207
N Hollywood, CA 91606-1438
Mailing address
6422 Bellingham Ave Ste 207
N Hollywood, CA 91606-1438
Phone (818) 851-6057
Other names
- VALENCIA HOME CARE
Other providers in N Hollywood, CA
- HB Gutstein & Co
- Heal Medical Clinic Inc
- Health Network Laboratories
- Health Pro Pharmaceutical
- Help Is Here Rehabilitation
- Highland Adhc Inc
- Karen Hoffmann
- Hollywood Foot and Ankle Center Inc
- Image M.D.
- Intersected Nutrition
All providers in N Hollywood, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.