NPIMap

Organization Active NPI

Calipso Home Health Care, Inc.

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1972672996
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000167 Issued in CA
Legal business name
CALIPSO HOME HEALTH CARE, INC.
Practice address
16909 Parthenia St Ste 205
Northridge, CA 91343-4578
Phone
(818) 894-8000
Fax
(818) 894-8001
NPI assigned
Nov 6, 2006
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Armenak Zakaryan
Title
President
Phone
(818) 894-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000167 CA Primary

Addresses

Primary practice location

16909 Parthenia St Ste 205
Northridge, CA 91343-4578

Mailing address

16909 Parthenia St Ste 205
Northridge, CA 91343-4578
Phone (818) 894-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030909000016 CA Part A Provider - Home Health Agency 6406767722 Practice locations: Northridge, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972672996. Details of each certification follow.

Home health agency certification: CCN 058392

Legal name
CALIPSO HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 25, 2007
Last certification
Mar 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 24, 2003 in CA
Enrollment address
16909 Parthenia St
Ste 205
Northridge, CA 91343-4578

Care Compare: Home health agency

Medicare Care Compare
Listed as
Calipso Home Health Care IncCCN 058392 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
May 25, 2007
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
05D1018197Calipso Home Health Care16909 Parthenia St Ste 205, Northridge, CA 91343Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory

Locations

3631 Cahuenga Blvd W
Los Angeles, CA 90068
Phone (323) 436-0202

16909 Parthenia St
Ste 205
Northridge, CA 91343
Phone (818) 894-8000

14930 Ventura Blvd
Ste 310
Sherman Oaks, CA 91403
Phone (818) 385-0030

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Edmond Melikterminas Individual Contracted Managing EmployeeMedical Director Feb 11, 2012 25%
Armenak Zakaryan Individual 5% Or Greater Direct Ownership Interest Oct 16, 2020 100%
Corporate OfficerCeo/Cfo/Secretary Aug 20, 2020 100%
Corporate DirectorBoard Member Aug 20, 2020 100%
Gina M Galla Individual W-2 Managing EmployeeDPCS/Administrator Jun 11, 2015 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 43

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1972672996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 PARTHENIA ST STE 205",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434578",
            "telephone_number": "818-894-8000",
            "fax_number": "818-894-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 PARTHENIA ST STE 205",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434578",
            "telephone_number": "818-894-8000",
            "fax_number": "818-894-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIPSO HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "ZAKARYAN",
        "authorized_official_first_name": "ARMENAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-894-8000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.