Active NPI
Cedar Home Health,Inc.
- Home Health Agency
- Arcadia, CA
National Provider Identifier
1902539125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CEDAR HOME HEALTH,INC.
- Practice address
- 125 E Santa Clara St Ste 4
Arcadia, CA 91006-7010 - Phone
- (323) 553-5554
- NPI assigned
- Jul 5, 2022
- Last updated
- Jan 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ani Petrosian
- Title
- Ceo
- Phone
- (323) 553-5554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
125 E Santa Clara St Ste 4
Arcadia, CA 91006-7010
Mailing address
125 E Santa Clara St Ste 4
Arcadia, CA 91006-7010
Phone (323) 553-5554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241220002877 | CA | Part A Provider - Home Health Agency | 4385171933 | Practice locations: Arcadia, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902539125. Details of each certification follow.
Home health agency certification: CCN 757944
- Legal name
- CEDAR HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 20, 2025
- Last certification
- Apr 8, 2025
- Organization structure
- Corporation
- Enrollment address
- 125 E Santa Clara St
Ste 4
Arcadia, CA 91006-7010
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Cedar Home Health, Inc.
- Ownership
- -
- Certified
- Apr 20, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
125 E Santa Clara St
Ste 4
Arcadia, CA 91006
Phone (323) 553-5554
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Eva Akopian | 5% Or Greater Direct Ownership Interest | Feb 23, 2022 | 50% |
| Ani Petrosian | 5% Or Greater Direct Ownership Interest | Feb 23, 2022 | 50% |
| Corporate Officer | Feb 23, 2022 | 50% | |
| Corporate Director | Feb 23, 2022 | 50% | |
| Nicole Talavera | W-2 Managing Employee | Feb 23, 2022 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Beverly Hills, CA
- NPI 1821356692
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736208000000",
"number": "1902539125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E SANTA CLARA ST STE 4",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910067010",
"telephone_number": "323-553-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E SANTA CLARA ST STE 4",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910067010",
"telephone_number": "323-553-5554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR HOME HEALTH,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-05",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A",
"authorized_official_last_name": "PETROSIAN",
"authorized_official_first_name": "ANI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-553-5554",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.