Organization Active NPI

Eden Home Health, Inc

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1043658602
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 23, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 059677
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 27, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2099464Eden Home Health Inc6300 Canoga Ave, Ste 1310, Woodland Hills, CA 91367Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Artin Hambartoun Individual Corporate Officer Feb 27, 2023
W-2 Managing Employee Jun 4, 2013
Morris Ohev Shalom Individual 5% Or Greater Direct Ownership Interest Jun 4, 2013 50%
Corporate OfficerCeo Jun 4, 2013 50%
Corporate DirectorBoard Member Jun 4, 2013 50%
W-2 Managing EmployeeDon Jun 4, 2013 50%
Sevana Der-Sarkissian Individual 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.

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

Verify at the official NPI Registry.