Active NPI
Owl Home Health, Inc.
- Home Health Agency
- Reseda, CA
National Provider Identifier
1043895220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2021
- 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
- Mr. Vahik Ovasapyan
- Title
- Owner, Ceo, Cfo, Secretary
- Phone
- (818) 654-6147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Ownership
- -
- Certified
- Apr 14, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Vahik Ovasapyan | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.