Iconic Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ICONIC HOME HEALTH CARE INC.

Practice address

10012 Commerce Ave Ste B
Tujunga, CA 91042-2304

Phone

(747) 212-4551

Fax

(747) 212-4552

NPI assigned

May 16, 2022

Organization subpart

No

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

Authorized official

Name

Ellen Sarkisyan

Title

Ceo

Phone

(747) 212-4551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 758005

Legal name

ICONIC HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 5, 2025

Last certification

Apr 25, 2025

Organization structure

CorporationProprietary

Enrollment address

10012 Commerce Ave
Ste B
Tujunga, CA 91042-2304
HHA Branch

Listed as

Iconic Home Health Care Inc.CCN 758005

Ownership

-

Certified

May 5, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1861139453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 COMMERCE AVE STE B",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422304",
            "telephone_number": "747-212-4551",
            "fax_number": "747-212-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 COMMERCE AVE STE B",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422304",
            "telephone_number": "747-212-4551",
            "fax_number": "747-212-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICONIC HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "SARKISYAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-212-4551"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Souls Home Health Care
• Health Quest Home Care, Inc.
• Mary Henry
• Home Care Medical Supplies LLC
• Hospice of SFV Inc
• Iconic Hospice Care, Inc.
• In Home Care Hospice, Inc.
• Independence Home Health Inc.
• Mireille Ishac
• J Lee DDS Inc

• Home Health Agency in Tujunga, CA
• Providers in Tujunga, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.