Organization Active NPI

Arba Home Healthcare, Inc

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1932687670
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARBA HOME HEALTHCARE, INC
Practice address
5958 Vineland Ave Ste H
North Hollywood, CA 91601-1329
Phone
(818) 821-3296
NPI assigned
Aug 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Artak Sargsyan
Title
Ceo
Phone
(818) 821-3298

Specialties & licenses 1

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

Addresses

Primary practice location

5958 Vineland Ave Ste H
North Hollywood, CA 91601-1329

Mailing address

5958 Vineland Ave Ste H
North Hollywood, CA 91601-1329
Phone (818) 821-3296

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190205000000 CA Part A Provider - Home Health Agency 8123366812 Practice locations: North Hollywood, CA

Home health agency certification: CCN 559143

Legal name
ARBA HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 22, 2019
Last certification
Nov 22, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
5958 Vineland Ave
Ste H
North Hollywood, CA 91601-1329

Care Compare: Home health agency

Medicare Care Compare
Listed as
Arba Home Healthcare, IncCCN 559143
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Nov 22, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2191790Arba Home Healthcare Inc5958 Vineland Ave Ste H, N Hollywood, CA 91601Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

5958 Vineland Ave
Ste H
North Hollywood, CA 91601
Phone (818) 821-3296

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
Artak Sargsyan Individual 5% Or Greater Direct Ownership InterestCeo Jun 22, 2018 100%
Corporate OfficerCeo Jun 22, 2018 100%
Corporate DirectorCeo Jun 22, 2018 100%
W-2 Managing EmployeeCeo Jun 22, 2018 100%
Operational/Managerial ControlCeo Jun 22, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1932687670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 VINELAND AVE STE H",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011329",
            "telephone_number": "818-821-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 VINELAND AVE STE H",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011329",
            "telephone_number": "818-821-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBA HOME HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "ARTAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-821-3298"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.