Organization Active NPI

Ideal Choice Home Health Care

  • Home Health Agency
  • North Hills, CA
National Provider Identifier
1881312338
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IDEAL CHOICE HOME HEALTH CARE
Practice address
16161 Roscoe Blvd Ste 204
North Hills, CA 91343-6234
Phone
(818) 369-4758
Fax
(888) 856-4696
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Ara Nersesian
Title
Ceo
Phone
(818) 369-4758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

16161 Roscoe Blvd Ste 204
North Hills, CA 91343-6234

Mailing address

16161 Roscoe Blvd Ste 204
North Hills, CA 91343-6234
Phone (818) 369-4758

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240401001297 CA Part A Provider - Home Health Agency 5890133508 Practice locations: North Hills, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881312338. Details of each certification follow.

Home health agency certification: CCN 757788

Legal name
IDEAL CHOICE HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 14, 2024
Last certification
Nov 8, 2024
Organization structure
CorporationProprietary
Enrollment address
16161 Roscoe Blvd
Ste 204
North Hills, CA 91343-6234

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ideal Choice Home Health CareCCN 757788 · All quality measures
Ownership
-
Certified
Nov 14, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

16161 Roscoe Blvd
Ste 204
North Hills, CA 91343
Phone (818) 369-4758

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
Eric Yepiskoposyan Individual Contracted Managing EmployeeAd;DPCS Apr 1, 2026
Ara Nersesian Individual 5% Or Greater Direct Ownership InterestCeo Jul 28, 2022 100%
Corporate OfficerCeo Jul 28, 2022 100%
Corporate DirectorCeo Jul 28, 2022 100%
W-2 Managing EmployeeCeo Jul 28, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1881312338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16161 ROSCOE BLVD STE 204",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436234",
            "telephone_number": "818-369-4758",
            "fax_number": "888-856-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16161 ROSCOE BLVD STE 204",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436234",
            "telephone_number": "818-369-4758",
            "fax_number": "888-856-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CHOICE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "NERSESIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-369-4758"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

Verify at the official NPI Registry.