Active NPI
Metropolitan Healthcare Inc
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1942484381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000957
- Legal business name
- METROPOLITAN HEALTHCARE INC
- Practice address
- 1680 Vine St
Suite 604
Los Angeles, CA 90028-8804 - Phone
- (323) 960-2533
- Fax
- (323) 315-9303
- NPI assigned
- Dec 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariam Zakharyan
- Title
- Ceo
- Phone
- (323) 960-2533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000957 | CA | Primary |
Addresses
Primary practice location
1680 Vine St
Suite 604
Los Angeles, CA 90028-8804
Mailing address
1680 Vine St
Suite 604
Los Angeles, CA 90028-8804
Phone (323) 960-2533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071228000521 | CA | Part A Provider - Home Health Agency | 9032299235 | Practice locations: Glendale, CA |
Home health agency certification: CCN 059253
- Legal name
- METROPOLITAN HEALTHCARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 14, 2010
- Last certification
- Feb 21, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 20, 2007 in CA
- Enrollment address
- 1007 S Central Ave
Ste 200
Glendale, CA 91204-3968
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Metropolitan Healthcare, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 14, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1007 S Central Ave
Ste 200
Glendale, CA 91204
Phone (323) 960-2533
1680 Vine St
Ste 604
Los Angeles, CA 90028
Phone (323) 960-2533
4929 Wilshire Blvd
Ste 945
Los Angeles, CA 90010
Phone (323) 960-2533
Ownership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Clara a Magana | 5% Or Greater Direct Ownership Interest | Apr 15, 2021 | 9.8% |
| Corporate Officer | Apr 15, 2021 | 34% | |
| Danna Lyn de Guzman Habana | 5% Or Greater Direct Ownership Interest | Apr 15, 2021 | 9.8% |
| Corporate Director | Apr 15, 2021 | 50% | |
| Eric Delacruz | 5% Or Greater Direct Ownership Interest | Apr 1, 2019 | 51% |
| Corporate Officer | Apr 1, 2019 | 100% | |
| Corporate Director | Apr 1, 2019 | 100% | |
| W-2 Managing Employee | Apr 1, 2019 | 100% | |
| Benjamin D Chiong | 5% Or Greater Direct Ownership Interest | Apr 15, 2021 | 9.8% |
| Corporate Director | Apr 15, 2021 | 50% | |
| Hasmik Melikyan | W-2 Managing Employee | May 7, 2014 | |
| Juro E Adefuin | 5% Or Greater Direct Ownership Interest | Apr 15, 2021 | 9.8% |
| Corporate Officer | Apr 15, 2021 | 33% | |
| Rhanie D Santiago | 5% Or Greater Direct Ownership Interest | Apr 15, 2021 | 9.8% |
| Corporate Officer | Apr 15, 2021 | 33% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300060800000",
"number": "1942484381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 VINE ST",
"address_2": "SUITE 604",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900288804",
"telephone_number": "323-960-2533",
"fax_number": "323-315-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 VINE ST",
"address_2": "SUITE 604",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900288804",
"telephone_number": "323-960-2533",
"fax_number": "323-315-9303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2011-03-14",
"status": "A",
"authorized_official_last_name": "ZAKHARYAN",
"authorized_official_first_name": "MARIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-960-2533"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550000957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Metro Medical Laboratory
- Metro Nursing Anesthesia Services Inc
- Metro Star Diagnostics, Inc.
- Metro-Valley Ambulance, LLC
- Metropolitan Detention Center Los Angeles
- Metropolitan Hematology Oncology Medical Group, Inc
- Metropolitan Skills Center
- Metropolitan Wellness Center
- Eris Metros
- Vemmy Lalitphat Metsutnan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.