Organization Active NPI

Stat Home Health, Inc

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1871132902
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STAT HOME HEALTH, INC
Practice address
9700 Reseda Blvd Ste 202
Northridge, CA 91324-5511
Phone
(818) 533-2335
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Stat Enterprise
Title
Authorized Official
Phone
(818) 533-2335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9700 Reseda Blvd Ste 202
Northridge, CA 91324-5511

Mailing address

9700 Reseda Blvd Ste 202
Northridge, CA 91324-5511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201002002554 CA Part A Provider - Home Health Agency 4183043524 Practice locations: Northridge, CA

Home health agency certification: CCN 559524

Legal name
STAT HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 27, 2021
Last certification
May 27, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 23, 2018 in CA
Enrollment address
9700 Reseda Blvd
Ste 202
Northridge, CA 91324-5511

Care Compare: Home health agency

Medicare Care Compare
Listed as
Stat Home Health, IncCCN 559524
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
May 27, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2293317Stat Home Health, Inc9700 Reseda Blvd Suite 202, Northridge, CA 91324Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

Locations

9700 Reseda Blvd
Ste 202
Northridge, CA 91324
Phone (818) 533-2335

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Sahak Poghosyan Individual 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Corporate OfficerCeo/Cfo/Secretary/Owner Oct 1, 2019 100%
Corporate DirectorCeo/Cfo/Secretary/Owner Oct 1, 2019 100%
Melinda Abdon-Borg Individual W-2 Managing EmployeeDPCS/Administrator Oct 1, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1871132902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 RESEDA BLVD STE 202",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 RESEDA BLVD STE 202",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245511",
            "telephone_number": "818-533-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "ENTERPRISE",
        "authorized_official_first_name": "STAT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "818-533-2335"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.