Organization Active NPI

Fairy Dust Health Services, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1053142828
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAIRY DUST HEALTH SERVICES, INC.
Practice address
6741 Van Nuys Blvd Ste 500
Van Nuys, CA 91405-4630
Phone
(818) 406-5266
Fax
(800) 407-7370
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Ruben Mkhitaryan
Title
Ceo
Phone
(818) 406-5266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6741 Van Nuys Blvd Ste 500
Van Nuys, CA 91405-4630

Mailing address

6741 Van Nuys Blvd Ste 500
Van Nuys, CA 91405-4630
Phone (818) 406-5266

National Provider Directory

National Provider Directory

Locations

6741 Van Nuys Blvd
Ste 500
Van Nuys, CA 91405
Phone (818) 406-5266

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1053142828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 VAN NUYS BLVD STE 500",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054630",
            "telephone_number": "818-406-5266",
            "fax_number": "800-407-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 VAN NUYS BLVD STE 500",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054630",
            "telephone_number": "818-406-5266",
            "fax_number": "800-407-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRY DUST HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "MKHITARYAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-406-5266"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.