Organization Active NPI

Sanity Home Health Services, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1962716407
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SANITY HOME HEALTH SERVICES, INC.
Practice address
10501 S Western Ave
Los Angeles, CA 90047-4458
Phone
(323) 755-7171
Fax
(323) 755-7177
NPI assigned
Jul 27, 2010
Organization subpart
Yes
Parent organization
SANITY HOME HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Mr. Fidel Osuji
Title
President/Ceo
Phone
(323) 755-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

10501 S Western Ave
Los Angeles, CA 90047-4458

Mailing address

10501 S. Western Ave
Los Angeles, CALIFORNIA 90047
UM
Phone (323) 755-7171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100913000533 CA Part A Provider - Home Health Agency 1254456312 Practice locations: Los Angeles, CA

Home health agency certification: CCN 059412

Legal name
SANITY HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 24, 2012
Last certification
Aug 13, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 21, 2010 in CA
Enrollment address
10501 S Western Ave
Los Angeles, CA 90047-4458
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sanity Home Health Services, IncCCN 059412
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Apr 24, 2012
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
Part of
Sanity Home Health Services Inc

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Degracia Individual W-2 Managing EmployeeDirector of Patient Care Service May 8, 2017
Hayk Tsaturyan Individual 5% Or Greater Direct Ownership Interest May 8, 2017 33.33%
Corporate OfficerCfo, Board Member May 8, 2017 33.33%
Corporate DirectorCfo, Board Member May 8, 2017 33.33%
Operational/Managerial ControlCfo, Board Member May 8, 2017 33.33%
Vache Hovsepyan Individual 5% Or Greater Direct Ownership Interest May 8, 2017 33.33%
Corporate OfficerCeo, Board Member May 8, 2017 33.33%
Corporate DirectorCeo, Board Member May 8, 2017 33.33%
Operational/Managerial ControlCeo, Board Member May 11, 2017 33.33%
Flordan Dela Rosa Enriquez Individual 5% Or Greater Direct Ownership Interest May 8, 2017 33.33%
Corporate DirectorSecretary, Board Member May 8, 2017 33.33%
Operational/Managerial ControlSecretary, Board Member May 8, 2017 33.33%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1962716407",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "10501 S. WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CALIFORNIA",
            "postal_code": "90047",
            "telephone_number": "323-755-7171",
            "fax_number": "323-755-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474458",
            "telephone_number": "323-755-7171",
            "fax_number": "323-755-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANITY HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANITY HOME HEALTH SERVICES, INC.",
        "enumeration_date": "2010-07-27",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "OSUJI",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-755-7171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.