Organization Active NPI

Benom Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1922877299
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BENOM HOME HEALTH CARE, INC.
Practice address
14531 Hamlin St Ste 255
Van Nuys, CA 91411-4126
Phone
(818) 285-8931
Fax
(818) 285-8932
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Sergey Tiraturyan
Title
Ceo
Phone
(818) 285-8931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14531 Hamlin St Ste 255
Van Nuys, CA 91411-4126

Mailing address

14531 Hamlin St Ste 255
Van Nuys, CA 91411-4126
Phone (818) 285-8931

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240705000994 CA Part A Provider - Home Health Agency 0840734513 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757865

Legal name
BENOM HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 14, 2025
Last certification
Mar 14, 2025
Organization structure
CorporationProprietary
Enrollment address
14531 Hamlin St
Ste 255
Van Nuys, CA 91411-4126

Care Compare: Home health agency

Medicare Care Compare
Listed as
Benom Home Health Care, Inc.CCN 757865
Ownership
-
Certified
Mar 14, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14531 Hamlin St
Ste 255
Van Nuys, CA 91411
Phone (818) 285-8931

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
Sergey Tiraturyan 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%

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": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1922877299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14531 HAMLIN ST STE 255",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114126",
            "telephone_number": "818-285-8931",
            "fax_number": "818-285-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14531 HAMLIN ST STE 255",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114126",
            "telephone_number": "818-285-8931",
            "fax_number": "818-285-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENOM HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "TIRATURYAN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-285-8931"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.