Organization Active NPI

So Cal HHA

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1942608724
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HHACCN 053110 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jun 8, 2017
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
05D2094873So Cal HHA11507 Oxnard St, Ste 4, North Hollywood, CA 91606Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Roman Bagiryan Individual 5% Or Greater Direct Ownership Interest Sep 15, 2014 100%
Corporate OfficerPresident/Ceo Sep 15, 2014 100%
Corporate DirectorCeo Sep 15, 2014 100%
W-2 Managing EmployeeCeo Sep 15, 2014 100%
Operational/Managerial ControlCeo Jan 26, 2015 100%
Mariam Avagimyan Individual Contracted Managing EmployeeDPCS Jun 1, 2026
W-2 Managing EmployeeDPCS 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.

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

Verify at the official NPI Registry.