Organization Active NPI

Ab Health Services

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1851965131
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AB HEALTH SERVICES
Practice address
11120 Burbank Blvd Ste 1a
North Hollywood, CA 91601-5727
Phone
(747) 224-6010
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Gagik Mikaelyan
Title
Ceo
Phone
(747) 224-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11120 Burbank Blvd Ste 1a
North Hollywood, CA 91601-5727

Mailing address

11120 Burbank Blvd Ste 1a
North Hollywood, CA 91601-5727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221031001167 CA Part A Provider - Home Health Agency 7618344961 Practice locations: Glendale, CA

Home health agency certification: CCN 757362

Legal name
AB HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 6, 2023
Last certification
Mar 16, 2023
Organization structure
CorporationProprietary
Incorporated
Feb 2, 2021 in CA
Enrollment address
225 E Broadway
Ste 205D
Glendale, CA 91205-1008

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ab Health ServicesCCN 757362
Ownership
-
Certified
Apr 6, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

225 E Broadway
Ste 205D
Glendale, CA 91205
Phone (747) 224-6010

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 Mikaelyan Individual 5% Or Greater Direct Ownership Interest Jul 19, 2022 100%
Corporate OfficerCeo Jul 19, 2022 100%
Corporate DirectorCeo Jul 19, 2022 100%
W-2 Managing EmployeeCeo Jul 19, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1851965131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 BURBANK BLVD STE 1A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916015727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 BURBANK BLVD STE 1A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916015727",
            "telephone_number": "747-224-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "MIKAELYAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-224-6010"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.