Queen of the Valley Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

QUEEN OF THE VALLEY HOME HEALTH, INC.

Practice address

8777 San Fernando Rd Ste 200
Sun Valley, CA 91352-1406

Phone

(747) 240-3727

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Stella KhechumyanNPI 1992697940

Title

Ceo

Phone

(747) 240-3727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559407

Legal name

QUEEN OF THE VALLEY HOME HEALTH, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 21, 2020

Last certification

Dec 21, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 3, 2018 in CA

Enrollment address

8777 San Fernando Rd
Ste 200
Sun Valley, CA 91352-1406

Listed as

Queen of the Valley Home Health, IncCCN 559407

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Dec 21, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Practitioners 1

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

• Stella Khechumyan, FNP

  • Nurse Practitioner
  • Burbank, CA
  • NPI 1992697940
  NPD (past) Authorized official

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Armando Canlas

  • Nurse Practitioner
  • Huntington Park, CA
  • NPI 1356134803

  Home health agency

  Care Compare affiliation
• Eden B Dabalus, NP

  • Family Nurse Practitioner
  • El Segundo, CA
  • NPI 1477061232

  Home health agency

  Care Compare affiliation
• Fidelia Onyebuchi Nnachetam

  • Family Nurse Practitioner
  • Inglewood, CA
  • NPI 1992156962

  Home health agency

  Care Compare affiliation
• Richard T Sokolov, MD

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1104858455

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1033675665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 SAN FERNANDO RD STE 200",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521406",
            "telephone_number": "747-240-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 SAN FERNANDO RD STE 200",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521406",
            "telephone_number": "747-240-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN OF THE VALLEY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "KHECHUMYAN",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-240-3727"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Home Health
• Pure Wellness Home Care, Inc.
• Diana Renee Putignano, ATC
• Queen Home Health, Inc
• Queen Hospice Care, Inc.
• Janet Quezada
• Melissa Radlein, PT, DPT
• Tailer Nicole Ramirez
• Alejandro Rana Custodio, MD, MS
• Avneet Kaur Randhawa

• Home Health Agency in Sun Valley, CA
• Providers in Sun Valley, 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 Feb 19, 2019; 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.