Organization Active NPI

Gravitas Home Health, Inc

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1063159127
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRAVITAS HOME HEALTH, INC
Practice address
4195 Valley Fair St Ste 204a
Simi Valley, CA 93063-2900
Phone
(805) 387-2111
NPI assigned
May 19, 2022
Organization subpart
Yes
Parent organization
GRAVITAS MANAGEMENT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Kristine Santrosyan
Title
Ceo
Phone
(805) 387-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4195 Valley Fair St Ste 204a
Simi Valley, CA 93063-2900

Mailing address

4195 Valley Fair St Ste 204a
Simi Valley, CA 93063-2900
Phone (805) 387-2111

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gravitascare22@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1063159127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 VALLEY FAIR ST STE 204A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632900",
            "telephone_number": "805-387-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 VALLEY FAIR ST STE 204A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632900",
            "telephone_number": "805-387-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVITAS HOME HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAVITAS MANAGEMENT, INC",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "SANTROSYAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-387-2111"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gravitascare22@gmail.com",
            "affiliation": "N",
            "address_1": "4195 Valley Fair St Ste 204A",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930632900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.