Organization Active NPI

Advocate Home Health

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1982079406
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADVOCATE HOME HEALTH
Practice address
16102 Hart St
Van Nuys, CA 91406-3903
Phone
(818) 212-5085
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Armen Avetisyan
Title
Administrator/ DPCS
Phone
(818) 212-5085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16102 Hart St
Van Nuys, CA 91406-3903

Mailing address

16102 Hart St
Van Nuys, CA 91406-3903
Phone (818) 212-5085

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180618001785 CA Part A Provider - Home Health Agency 7214282110 Practice locations: Van Nuys, CA

Home health agency certification: CCN 553172

Legal name
ADVOCATE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 6, 2019
Last certification
Feb 6, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 7, 2015 in CA
Enrollment address
16102 Hart St
Van Nuys, CA 91406-3903
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Advocate Home HealthCCN 553172 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Feb 6, 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

16102 Hart St
Van Nuys, CA 91406
Phone (818) 212-5085

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
Andrey Yazichyan Individual 5% Or Greater Direct Ownership Interest Jul 27, 2023 100%
Corporate OfficerPresident Jul 27, 2023 100%
W-2 Managing EmployeePresident Jul 27, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1982079406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16102 HART ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063903",
            "telephone_number": "818-212-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16102 HART ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063903",
            "telephone_number": "818-212-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/ DPCS",
        "authorized_official_telephone_number": "818-212-5085"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.