Organization Active NPI

Metropolitan Healthcare Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1942484381
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000957 Issued in CA
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

Updated by the provider on Mar 14, 2011

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 059253 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
May 14, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Clara a Magana Individual 5% Or Greater Direct Ownership Interest Apr 15, 2021 9.8%
Corporate OfficerCeo Apr 15, 2021 34%
Danna Lyn de Guzman Habana Individual 5% Or Greater Direct Ownership Interest Apr 15, 2021 9.8%
Corporate DirectorBoard Member Apr 15, 2021 50%
Eric Delacruz Individual 5% Or Greater Direct Ownership InterestOwner Apr 1, 2019 51%
Corporate OfficerCeo/Cfo/Secretary Apr 1, 2019 100%
Corporate DirectorCeo/Cfo/Secretary Apr 1, 2019 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Apr 1, 2019 100%
Benjamin D Chiong Individual 5% Or Greater Direct Ownership Interest Apr 15, 2021 9.8%
Corporate DirectorBoard Member Apr 15, 2021 50%
Hasmik Melikyan Individual W-2 Managing EmployeeAdministrator/DPCS May 7, 2014
Juro E Adefuin Individual 5% Or Greater Direct Ownership Interest Apr 15, 2021 9.8%
Corporate OfficerCfo Apr 15, 2021 33%
Rhanie D Santiago Individual 5% Or Greater Direct Ownership Interest Apr 15, 2021 9.8%
Corporate OfficerSecretary 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

Sources for this page

Verify at the official NPI Registry.