NPIMap

Organization Active NPI

Skylar Home Health, Inc.

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1972092468
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SKYLAR HOME HEALTH, INC.
Practice address
10523 Burbank Blvd Ste 105
North Hollywood, CA 91601-2235
Phone
(818) 574-5950
Fax
(818) 574-5882
NPI assigned
May 9, 2018
Last updated
May 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Mrs. Sona Undzhyan
Title
Ceo
Phone
(818) 574-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10523 Burbank Blvd Ste 105
North Hollywood, CA 91601-2235

Mailing address

10523 Burbank Blvd Ste 105
North Hollywood, CA 91601-2235
Phone (818) 574-5950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190703000355 CA Part A Provider - Home Health Agency 2365776812 Practice locations: Sherman Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972092468. Details of each certification follow.

Home health agency certification: CCN 559083

Legal name
SKYLAR HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 27, 2019
Last certification
Sep 27, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 14, 2017 in CA
Enrollment address
15450 Ventura Blvd
Ste 201
Sherman Oaks, CA 91403-3063

Care Compare: Home health agency

Medicare Care Compare
Listed as
Skylar Home Health, IncCCN 559083 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Sep 27, 2019
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

15450 Ventura Blvd
Ste 201
Sherman Oaks, CA 91403
Phone (818) 414-8877

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Toros Demirchyan Individual 5% Or Greater Direct Ownership InterestOwner May 29, 2019 100%
Corporate OfficerCeo May 29, 2019 100%
Corporate DirectorCeo May 29, 2019 100%
W-2 Managing EmployeeCeo May 29, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1972092468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 BURBANK BLVD STE 105",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012235",
            "telephone_number": "818-574-5950",
            "fax_number": "818-574-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10523 BURBANK BLVD STE 105",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012235",
            "telephone_number": "818-574-5950",
            "fax_number": "818-574-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLAR HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "UNDZHYAN",
        "authorized_official_first_name": "SONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-574-5950",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.