Active NPI
Eden Home Health, Inc
- Home Health Agency
- Woodland Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EDEN HOME HEALTH, INC
- Practice address
- 6300 Canoga Ave Ste 1310
Woodland Hills, CA 91367-8003 - Phone
- (818) 324-0728
- Fax
- (818) 704-1454
- NPI assigned
- Jun 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Morris Ohev Shalom, RN
- Title
- Ceo
- Phone
- (818) 324-0728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6300 Canoga Ave Ste 1310
Woodland Hills, CA 91367-8003
Mailing address
6300 Canoga Ave Ste 1310
Woodland Hills, CA 91367-8003
Phone (818) 324-0728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130726000427 | CA | Part A Provider - Home Health Agency | 5597906941 | Practice locations: Woodland Hills, CA |
Home health agency certification: CCN 059677
- Legal name
- EDEN HOME HEALTH, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 27, 2015
- Last certification
- Sep 7, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 29, 2013 in CA
- Enrollment address
- 6300 Canoga Ave
Ste 1310
Woodland Hills, CA 91367-2555
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Eden Home Health, Inc.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 27, 2015
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2099464 | Eden Home Health Inc | Certificate of waiver | Jul 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
20944 Sherman Way
Ste 207
Canoga Park, CA 91303
Phone (818) 324-0728
6300 Canoga Ave
Ste 1310
Woodland Hills, CA 91367
Phone (818) 324-0728
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Artin Hambartoun | Corporate Officer | Feb 27, 2023 | |
| W-2 Managing Employee | Jun 4, 2013 | ||
| Morris Ohev Shalom | 5% Or Greater Direct Ownership Interest | Jun 4, 2013 | 50% |
| Corporate Officer | Jun 4, 2013 | 50% | |
| Corporate Director | Jun 4, 2013 | 50% | |
| W-2 Managing Employee | Jun 4, 2013 | 50% | |
| Sevana Der-Sarkissian | 5% Or Greater Direct Ownership Interest | Jun 4, 2013 | 50% |
| Corporate Officer | Jun 4, 2013 | 50% | |
| Corporate Director | Dec 10, 2014 | 50% | |
| W-2 Managing Employee | Dec 10, 2014 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Woodland Hills, CA
- NPI 1396885570
Home health agency
-
- Internal Medicine Physician
- Encino, CA
- NPI 1063514479
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1043658602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 CANOGA AVE STE 1310",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913678003",
"telephone_number": "818-324-0728",
"fax_number": "818-704-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 CANOGA AVE STE 1310",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913678003",
"telephone_number": "818-324-0728",
"fax_number": "818-704-1454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN HOME HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-05",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "OHEV SHALOM",
"authorized_official_first_name": "MORRIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-324-0728",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.