Active NPI
So Cal HHA
- Home Health Agency
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SO CAL HHA
- Practice address
- 11507 Oxnard St Ste 4
North Hollywood, CA 91606-4186 - Phone
- (818) 505-9500
- Fax
- (818) 505-9505
- NPI assigned
- Dec 10, 2014
- Last updated
- Jun 16, 2026
- 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
- Roman Bagiryan
- Title
- Ceo
- Phone
- (818) 505-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
11507 Oxnard St Ste 4
North Hollywood, CA 91606-4186
Mailing address
11507 Oxnard St Ste 4
North Hollywood, CA 91606-4186
Phone (818) 505-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150211000692 | CA | Part A Provider - Home Health Agency | 1254656473 | Practice locations: North Hollywood, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1942608724. Details of each certification follow.
Home health agency certification: CCN 053110
- Legal name
- SO CAL HHA
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 8, 2017
- Last certification
- Mar 10, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 15, 2014 in CA
- Enrollment address
- 11507 Oxnard St 4
North Hollywood, CA 91606-4809
Care Compare: Home health agency
Medicare Care Compare- Listed as
- So Cal HHA
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 8, 2017
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2094873 | So Cal HHA | Certificate of waiver | Jun 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
11507 Oxnard St
Ste 4
North Hollywood, CA 91606
Phone (818) 505-9500
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Roman Bagiryan | 5% Or Greater Direct Ownership Interest | Sep 15, 2014 | 100% |
| Corporate Officer | Sep 15, 2014 | 100% | |
| Corporate Director | Sep 15, 2014 | 100% | |
| W-2 Managing Employee | Sep 15, 2014 | 100% | |
| Operational/Managerial Control | Jan 26, 2015 | 100% | |
| Mariam Avagimyan | Contracted Managing Employee | Jun 1, 2026 | |
| W-2 Managing Employee | Jun 1, 2026 | ||
| Operational/Managerial Control | Jun 1, 2026 | ||
| Other | Jun 16, 2026 |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Sun Valley, CA
- NPI 1679150957
Home health agency
-
- Family Medicine Physician
- Glendale, CA
- NPI 1619015195
Home health agency
-
- Pulmonary Disease Physician
- Beverly Hills, CA
- NPI 1811180144
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1942608724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11507 OXNARD ST STE 4",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916064186",
"telephone_number": "818-505-9500",
"fax_number": "818-505-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11507 OXNARD ST STE 4",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916064186",
"telephone_number": "818-505-9500",
"fax_number": "818-505-9505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SO CAL HHA",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-10",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "BAGIRYAN",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-505-9500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.