Arev Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AREV HOME HEALTH INC

Practice address

11565 Laurel Canyon Blvd Ste 201
San Fernando, CA 91340-4651

Phone

(310) 594-7302

NPI assigned

Jun 6, 2021

Organization subpart

No

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

Authorized official

Name

Astghik Hovhannisyan

Title

Ceo

Phone

(310) 594-7302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757590

Legal name

AREV HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 15, 2024

Last certification

Mar 15, 2024

Organization structure

CorporationProprietary

Incorporated

Feb 20, 2021 in CA

Enrollment address

11565 Laurel Canyon Blvd
Ste 201
San Fernando, CA 91340-4651

Listed as

Arev Home Health IncCCN 757590

Ownership

-

Certified

Mar 15, 2024

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622937600000",
    "number": "1003483322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11565 LAUREL CANYON BLVD STE 201",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 LAUREL CANYON BLVD STE 201",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404651",
            "telephone_number": "310-594-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREV HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "ASTGHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-594-7302"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ang Angara, PHARMD
• Apex Care RX Inc
• Enrique A Araujo, DDS
• Maria Laura Arciniega, DDS
• Saydie Arcique, RBT
• Emilia Arevalo
• Chelsea Argue, PSY.D
• Jesus Arguello Rivas, PTA
• Joselino Argueta Serrano
• Edwin David Argueta, MA

• Home Health Agency in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.