Organization Active NPI

Health Hub Home Health Inc

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1912651621
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH HUB HOME HEALTH INC
Practice address
15130 Ventura Blvd Ste 307
Sherman Oaks, CA 91403-3378
Phone
(424) 888-4847
NPI assigned
Feb 10, 2022
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Marianna Gevorgyan
Title
Ceo, Cfo, Secretary
Phone
(424) 888-4847

Specialties & licenses 1

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

Addresses

Primary practice location

15130 Ventura Blvd Ste 307
Sherman Oaks, CA 91403-3378

Mailing address

15130 Ventura Blvd Ste 307
Sherman Oaks, CA 91403-3378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240315002953 CA Part A Provider - Home Health Agency 5597101246 Practice locations: Sherman Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912651621. Details of each certification follow.

Home health agency certification: CCN 757799

Legal name
HEALTH HUB HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 13, 2024
Last certification
Nov 13, 2024
Organization structure
CorporationProprietary
Enrollment address
15130 Ventura Blvd
Ste 307
Sherman Oaks, CA 91403-3378

Care Compare: Home health agency

Medicare Care Compare
Listed as
Health Hub Home Health IncCCN 757799 · All quality measures
Ownership
-
Certified
Nov 13, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

15130 Ventura Blvd
Ste 307
Sherman Oaks, CA 91403
Phone (424) 888-4847

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marianna Gevorgyan Individual 5% Or Greater Direct Ownership InterestCeo Dec 7, 2021 100%
Corporate OfficerCeo Dec 7, 2021 100%
Corporate DirectorCeo Dec 7, 2021 100%
W-2 Managing EmployeeCeo Dec 7, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1912651621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15130 VENTURA BLVD STE 307",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15130 VENTURA BLVD STE 307",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033378",
            "telephone_number": "424-888-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH HUB HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "424-888-4847"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.