Organization Active NPI

Rays of Hope Home Health Services Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1033862560
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RAYS OF HOPE HOME HEALTH SERVICES INC
Practice address
14545 Friar St Ste 223
Van Nuys, CA 91411-4719
Phone
(626) 487-5956
Fax
(818) 475-5127
NPI assigned
Feb 3, 2022
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Shoghig Havatian
Title
Ceo
Phone
(626) 487-5956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

14545 Friar St Ste 223
Van Nuys, CA 91411-4719

Mailing address

14545 Friar St Ste 223
Van Nuys, CA 91411-4719
Phone (626) 487-5956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221101000782 CA Part A Provider - Home Health Agency 9931576147 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033862560. Details of each certification follow.

Home health agency certification: CCN 757995

Legal name
RAYS OF HOPE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 29, 2024
Last certification
Nov 12, 2024
Organization structure
CorporationProprietary
Incorporated
Jan 20, 2022 in CA
Enrollment address
14545 Friar St
Ste 223
Van Nuys, CA 91411-4719

Care Compare: Home health agency

Medicare Care Compare
Listed as
Rays of Hope Home Health Services IncCCN 757995 · All quality measures
Ownership
-
Certified
Nov 29, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
Shoghig Havatian Individual 5% Or Greater Direct Ownership Interest Jan 20, 2022 100%
Corporate OfficerCeo/Cfe/Sec/BM Jan 20, 2022 100%
Corporate DirectorCeo/Cfe/Sec/BM Jan 20, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Sec/BM Jan 20, 2022 100%
Operational/Managerial ControlCeo/Cfo/Sec/BM Jan 20, 2022

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1033862560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 223",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114719",
            "telephone_number": "626-487-5956",
            "fax_number": "818-475-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 223",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114719",
            "telephone_number": "626-487-5956",
            "fax_number": "818-475-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYS OF HOPE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "HAVATIAN",
        "authorized_official_first_name": "SHOGHIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-487-5956"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.