Organization Active NPI

Optimal Care Home Health Inc

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1952045346
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPTIMAL CARE HOME HEALTH INC
Practice address
18340 Ventura Blvd Ste 203
Tarzana, CA 91356-4290
Phone
(747) 777-6151
NPI assigned
Apr 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Mr. Sargis Ayvazyan
Title
Ceo
Phone
(747) 777-6151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18340 Ventura Blvd Ste 203
Tarzana, CA 91356-4290

Mailing address

18340 Ventura Blvd Ste 203
Tarzana, CA 91356-4290
Phone (747) 777-6151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250226000838 CA Part A Provider - Home Health Agency 8921528589 Practice locations: Tarzana, CA

Home health agency certification: CCN 758051

Legal name
OPTIMAL CARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 12, 2025
Last certification
Jun 27, 2025
Organization structure
CorporationProprietary
Enrollment address
18340 Ventura Blvd
Ste 203
Tarzana, CA 91356-4290

Care Compare: Home health agency

Medicare Care Compare
Listed as
Optimal Care Home Health, Inc.CCN 758051
Ownership
-
Certified
Jul 12, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18340 Ventura Blvd
Ste 203
Tarzana, CA 91356
Phone (747) 777-2752

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
Sargis Ayvazyan Individual 5% Or Greater Direct Ownership Interest Feb 22, 2022 100%
Corporate OfficerCeo/Cfo/Secretary/Owner Feb 22, 2022 100%
Corporate DirectorCeo/Cfo/Secretary/Owner Feb 22, 2022 100%
Marta Bezatyan Individual W-2 Managing EmployeeAd;DPCS Mar 30, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1952045346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 VENTURA BLVD STE 203",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564290",
            "telephone_number": "747-777-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18340 VENTURA BLVD STE 203",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564290",
            "telephone_number": "747-777-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "AYVAZYAN",
        "authorized_official_first_name": "SARGIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-777-6151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.