Organization Active NPI

Integral Home Health Care, Inc.

  • Home Health Agency
  • Panorama City, CA
National Provider Identifier
1851921373
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTEGRAL HOME HEALTH CARE, INC.
Practice address
14547 Titus St.
Suite 203
Panorama City, CA 91402-4924
Phone
(626) 921-6167
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Mr. Marat Melikyan
Title
Administrator
Phone
(626) 921-6167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14547 Titus St.
Suite 203
Panorama City, CA 91402-4924

Mailing address

14547 Titus St.
Suite 203
Panorama City, CA 91402-4924
Phone (626) 921-6167

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210902000104 CA Part A Provider - Home Health Agency 5890191688 Practice locations: Panorama City, CA

Home health agency certification: CCN 757081

Legal name
INTEGRAL HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 9, 2022
Last certification
Apr 14, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 17, 2019 in CA
Enrollment address
14547 Titus St
Ste 203
Panorama City, CA 91402-4924

All disclosed owners & managing parties 2

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marat Melikyan Individual 5% Or Greater Direct Ownership Interest Jun 17, 2019 50%
Corporate OfficerCeo Jun 17, 2019 50%
Corporate DirectorBoard Member Jun 17, 2019 50%
W-2 Managing EmployeeCeo Jun 17, 2019 50%
Vram Gamalyan Individual 5% Or Greater Direct Ownership Interest Jun 17, 2019 50%
Corporate OfficerSecretary/Cfo Jun 17, 2019 50%
Corporate DirectorBoard Member Jun 17, 2019 50%
W-2 Managing EmployeeSecretary/Cfo Jun 17, 2019 50%

National Provider Directory

National Provider Directory

Locations

221 E Glenoaks Blvd
#22513
Glendale, CA 91207

14547 Titus St
Ste 203
Panorama City, CA 91402
Phone (626) 921-6167

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Integral Home Health Care, IncCCN 757081
Overall star rating
1 of 5
Ownership
Proprietary
Certified
May 9, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1851921373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14547 TITUS ST.",
            "address_2": "SUITE 203",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024924",
            "telephone_number": "626-921-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14547 TITUS ST.",
            "address_2": "SUITE 203",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024924",
            "telephone_number": "626-921-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "MELIKYAN",
        "authorized_official_first_name": "MARAT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-921-6167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.