Organization Active NPI

Chance Home Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1033610266
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHANCE HOME CARE, INC.
Practice address
14540 Victory Blvd Ste 227
Van Nuys, CA 91411-1600
Phone
(818) 212-9332
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Anait Tovmasyan
Title
Ceo
Phone
(818) 212-9332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14540 Victory Blvd Ste 227
Van Nuys, CA 91411-1600

Mailing address

14540 Victory Blvd Ste 227
Van Nuys, CA 91411-1600
Phone (818) 212-9332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180522000749 CA Part A Provider - Home Health Agency 7113282195 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559107

Legal name
CHANCE HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 29, 2019
Last certification
Oct 29, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
14540 Victory Blvd
Ste 227
Van Nuys, CA 91411-1600

Care Compare: Home health agency

Medicare Care Compare
Listed as
Chance Home Care, IncCCN 559107 · All quality measures
Ownership
Proprietary
Certified
Oct 29, 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

14540 Victory Blvd
Ste 227
Van Nuys, CA 91411
Phone (818) 212-9332

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
Anait Tovmasyan Individual 5% Or Greater Direct Ownership InterestOwner Feb 21, 2018 100%
Corporate OfficerCeo/Cfo/Secretary/Chairman of TH Feb 21, 2018 100%
Corporate DirectorCeo/Cfo/Secretary/Chairman of TH Feb 21, 2018 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Chairman of TH Feb 21, 2018 100%

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1033610266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 VICTORY BLVD STE 227",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111600",
            "telephone_number": "818-212-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 VICTORY BLVD STE 227",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111600",
            "telephone_number": "818-212-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "TOVMASYAN",
        "authorized_official_first_name": "ANAIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-212-9332"
    },
    "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.