Organization Active NPI

Cedar Home Health,Inc.

  • Home Health Agency
  • Arcadia, CA
National Provider Identifier
1902539125
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 757944 · All quality measures
Ownership
-
Certified
Apr 20, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Eva Akopian Individual 5% Or Greater Direct Ownership InterestSecretary/Owner Feb 23, 2022 50%
Ani Petrosian Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Owner Feb 23, 2022 50%
Corporate OfficerCeo/Cfo/Owner Feb 23, 2022 50%
Corporate DirectorCeo/Cfo/Owner Feb 23, 2022 50%
Nicole Talavera Individual W-2 Managing EmployeeAd;DPCS Feb 23, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "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

Verify at the official NPI Registry.