Organization Active NPI

Cali Home Health Care, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1871145789
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CALI HOME HEALTH CARE, INC.
Practice address
19531 Ventura Blvd Ste 19
Tarzana, CA 91356-2957
Phone
(818) 338-6198
NPI assigned
Jul 11, 2019
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Hakop Ekimyan
Title
Ceo
Phone
(818) 338-6198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19531 Ventura Blvd Ste 19
Tarzana, CA 91356-2957

Mailing address

19531 Ventura Blvd Ste 19
Tarzana, CA 91356-2957
Phone (818) 338-6198

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200806000997 CA Part A Provider - Home Health Agency 1557786621 Practice locations: Northridge, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871145789. Details of each certification follow.

Home health agency certification: CCN 559348

Legal name
CALI HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 16, 2020
Last certification
Oct 16, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 4, 2018 in CA
Enrollment address
18419 Napa St
Ste C
Northridge, CA 91325-3900

Care Compare: Home health agency

Medicare Care Compare
Listed as
Cali Home Health Care, IncCCN 559348 · All quality measures
Ownership
Proprietary
Certified
Oct 16, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

18419 Napa St
Ste C
Northridge, CA 91325
Phone (818) 477-2324

19531 Ventura Blvd
Ste 19
Tarzana, CA 91356
Phone (818) 338-6198

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
Parsam Manuelian Individual 5% Or Greater Direct Ownership InterestCeo Dec 4, 2018 100%
Corporate OfficerCeo-Chairman of Board Dec 4, 2018 100%
Corporate DirectorCeo Dec 4, 2018 100%
W-2 Managing EmployeeCeo Dec 4, 2018 100%
Operational/Managerial ControlCeo Dec 4, 2018 100%

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1871145789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19531 VENTURA BLVD STE 19",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562957",
            "telephone_number": "818-338-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19531 VENTURA BLVD STE 19",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562957",
            "telephone_number": "818-338-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALI HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "EKIMYAN",
        "authorized_official_first_name": "HAKOP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-338-6198"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.