Organization Active NPI

Heart Inc

  • Home Health Agency
  • Valley Village, CA
National Provider Identifier
1003245887
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEART INC
Practice address
5320 Laurel Canyon Blvd
Suite 201
Valley Village, CA 91607-2712
Phone
(818) 404-9594
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Goharik Shakhmuradyan
Title
Ceo
Phone
(818) 404-9594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5320 Laurel Canyon Blvd
Suite 201
Valley Village, CA 91607-2712

Mailing address

5320 Laurel Canyon Blvd
Suite 201
Valley Village, CA 91607-2712
Phone (818) 404-9594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140428001834 CA Part A Provider - Home Health Agency 4587897590 Practice locations: Sherman Oaks, CA

Home health agency certification: CCN 059792

Legal name
HEART INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 26, 2016
Last certification
Mar 7, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 20, 2013 in CA
Enrollment address
4312 Woodman Ave
Ste 201
Sherman Oaks, CA 91423-5526

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heart, IncCCN 059792
Ownership
Proprietary
Certified
Mar 26, 2016
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

5320 Laurel Canyon Blvd
#201
Valley Village, CA 91607
Phone (818) 404-9594

5320 Laurel Canyon Blvd
Ste 201
Valley Village, CA 91607
Phone (818) 404-9594

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
Goharik Shakhmuradyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 20, 2013 100%
Corporate OfficerCeo Sep 20, 2013 100%
W-2 Managing EmployeeCeo/ Administrator Sep 20, 2013 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1003245887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 LAUREL CANYON BLVD",
            "address_2": "SUITE 201",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072712",
            "telephone_number": "818-404-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 LAUREL CANYON BLVD",
            "address_2": "SUITE 201",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072712",
            "telephone_number": "818-404-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "SHAKHMURADYAN",
        "authorized_official_first_name": "GOHARIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-404-9594"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.