California State Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CALIFORNIA STATE HOME HEALTH AGENCY, INC.

Practice address

15545 Devonshire St Ste 204
Mission Hills, CA 91345-2655

Phone

(310) 943-0033

Fax

(310) 304-4452

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Marianna Akopyan, RN, BSN

Title

Administrator

Phone

(818) 424-9658

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757454

Legal name

CALIFORNIA STATE HOME HEALTH AGENCY, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 22, 2023

Last certification

Sep 13, 2023

Organization structure

CorporationProprietary

Enrollment address

15545 Devonshire St
Unit 204
Mission Hills, CA 91345-2655

Listed as

California State Home Health Agency, Inc.CCN 757454 · All quality measures

Ownership

-

Certified

Sep 22, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1902573918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15545 DEVONSHIRE ST STE 204",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452655",
            "telephone_number": "310-943-0033",
            "fax_number": "310-304-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15545 DEVONSHIRE ST STE 204",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452655",
            "telephone_number": "310-943-0033",
            "fax_number": "310-304-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "AKOPYAN",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-424-9658",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.

Verify at the official NPI Registry.