Organization Active NPI

Owl Home Health, Inc.

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1043895220
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OWL HOME HEALTH, INC.
Practice address
7012 Reseda Blvd Ste 201a
Reseda, CA 91335-4219
Phone
(818) 654-6147
Fax
(818) 936-0948
NPI assigned
Mar 10, 2021
Last updated
Mar 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Mr. Vahik Ovasapyan
Title
Owner, Ceo, Cfo, Secretary
Phone
(818) 654-6147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7012 Reseda Blvd Ste 201a
Reseda, CA 91335-4219

Mailing address

7012 Reseda Blvd Ste 201a
Reseda, CA 91335-4219
Phone (818) 654-6147

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220407001018 CA Part A Provider - Home Health Agency 8426444001 Practice locations: Reseda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043895220. Details of each certification follow.

Home health agency certification: CCN 757259

Legal name
OWL HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 14, 2023
Last certification
Apr 4, 2023
Organization structure
CorporationProprietary
Incorporated
Dec 22, 2020 in CA
Enrollment address
7012 Reseda Blvd
Ste 201a
Reseda, CA 91335-4219

Care Compare: Home health agency

Medicare Care Compare
Listed as
Owl Home Health, Inc.CCN 757259 · All quality measures
Ownership
-
Certified
Apr 14, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7012 Reseda Blvd
Ste 201A
Reseda, CA 91335
Phone (818) 654-6147

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
Vahik Ovasapyan Individual 5% Or Greater Direct Ownership Interest Dec 22, 2020
Corporate Officer Dec 22, 2020
W-2 Managing Employee Dec 22, 2020

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1043895220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD STE 201A",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "818-654-6147",
            "fax_number": "818-936-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD STE 201A",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "818-654-6147",
            "fax_number": "818-936-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWL HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "OVASAPYAN",
        "authorized_official_first_name": "VAHIK",
        "authorized_official_title_or_position": "OWNER, CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "818-654-6147",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.