Organization Active NPI

Peaceful Heaven Home Health, Inc

  • Home Health Agency
  • Sun Valley, CA
National Provider Identifier
1013629161
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACEFUL HEAVEN HOME HEALTH, INC
Practice address
11109 Sheldon St Unit 102
Sun Valley, CA 91352-1115
Phone
(818) 925-9692
Fax
(818) 293-4142
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Vardui Yepremyan
Title
Ceo
Phone
(818) 925-9692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11109 Sheldon St Unit 102
Sun Valley, CA 91352-1115

Mailing address

11109 Sheldon St Unit 102
Sun Valley, CA 91352-1115
Phone (818) 925-9692

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1013629161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 SHELDON ST UNIT 102",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521115",
            "telephone_number": "818-925-9692",
            "fax_number": "818-293-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 SHELDON ST UNIT 102",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521115",
            "telephone_number": "818-925-9692",
            "fax_number": "818-293-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HEAVEN HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "YEPREMYAN",
        "authorized_official_first_name": "VARDUI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-925-9692"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.