Active NPI
Avida Home Health Care, Inc.
- Home Health Agency
- Burbank, CA
National Provider Identifier
1912575812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AVIDA HOME HEALTH CARE, INC.
- Practice address
- 400 S Victory Blvd Ste 205
Burbank, CA 91502-3104 - Phone
- (888) 228-1528
- NPI assigned
- Jun 16, 2021
- Organization subpart
- Yes
- Parent organization
- AVIDA CARE HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sona Martirosian
- Title
- Ceo
- Phone
- (888) 228-1528
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
400 S Victory Blvd Ste 205
Burbank, CA 91502-3104
Mailing address
400 S Victory Blvd Ste 205
Burbank, CA 91502-3104
Phone (888) 228-1528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220920002060 | CA | Part A Provider - Home Health Agency | 1355726852 | Practice locations: Burbank, CA |
Home health agency certification: CCN 757303
- Legal name
- AVIDA HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 18, 2023
- Last certification
- May 18, 2023
- Organization structure
- Corporation
- Incorporated
- Jun 4, 2021 in CA
- Enrollment address
- 400 S Victory Blvd
Ste 205
Burbank, CA 91502-3104
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Avida Home Health Care, Inc
- Overall star rating
- Ownership
- -
- Certified
- May 18, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
400 S Victory Blvd
Ste 205
Burbank, CA 91502
Phone (888) 228-1528
2500 E Foothill Blvd
Ste 425
Pasadena, CA 91107
Phone (888) 228-1528
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Avida Care Holdings Inc | 5% Or Greater Direct Ownership Interest | Aug 31, 2020 | 100% |
| Sona Martirosian | 5% Or Greater Indirect Ownership Interest | Jun 4, 2021 | 100% |
| Corporate Officer | Jun 4, 2021 | 100% | |
| Corporate Director | Jun 4, 2021 | 100% | |
| W-2 Managing Employee | Jun 4, 2021 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Santa Monica, CA
- NPI 1235276478
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753833600000",
"number": "1912575812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S VICTORY BLVD STE 205",
"city": "BURBANK",
"state": "CA",
"postal_code": "915023104",
"telephone_number": "888-228-1528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S VICTORY BLVD STE 205",
"city": "BURBANK",
"state": "CA",
"postal_code": "915023104",
"telephone_number": "888-228-1528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVIDA HOME HEALTH CARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AVIDA CARE HOLDINGS, INC.",
"enumeration_date": "2021-06-16",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A",
"authorized_official_last_name": "MARTIROSIAN",
"authorized_official_first_name": "SONA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-228-1528"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.