Active NPI
Mavi Home Health
- Home Health Agency
- Studio City, CA
National Provider Identifier
1093468753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MAVI HOME HEALTH
- Practice address
- 10700 Ventura Blvd Ste B
Studio City, CA 91604-4614 - Phone
- (818) 650-2225
- Fax
- (818) 650-2225
- NPI assigned
- Feb 1, 2022
- Organization subpart
- Yes
- Parent organization
- MVI INVESTMENTS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mariam Vardanyan
- Title
- Ceo
- Phone
- (818) 650-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10700 Ventura Blvd Ste B
Studio City, CA 91604-4614
Mailing address
10700 Ventura Blvd Ste B
Studio City, CA 91604-4614
Phone (818) 650-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250121002717 | CA | Part A Provider - Home Health Agency | 4688103633 | Practice locations: Studio City, CA |
Home health agency certification: CCN 758120
- Legal name
- MAVI HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 8, 2025
- Last certification
- Jul 30, 2025
- Organization structure
- Corporation
- Enrollment address
- 10700 Ventura Blvd
Ste B
Studio City, CA 91604-4614
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Mavi Home Health
- Ownership
- -
- Certified
- Aug 8, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
10700 Ventura Blvd
Ste B
Studio City, CA 91604
Phone (818) 579-6990
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Mariam Vardanyan | 5% Or Greater Indirect Ownership Interest | Jan 17, 2022 | 100% |
| Corporate Officer | Jan 17, 2022 | 100% | |
| Corporate Director | Jan 17, 2022 | 100% | |
| W-2 Managing Employee | Jan 17, 2022 | 100% | |
| Mvi Investments Inc | 5% Or Greater Direct Ownership Interest | Jan 17, 2022 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679875200000",
"number": "1093468753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 VENTURA BLVD STE B",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916044614",
"telephone_number": "818-650-2225",
"fax_number": "818-650-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 VENTURA BLVD STE B",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916044614",
"telephone_number": "818-650-2225",
"fax_number": "818-650-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAVI HOME HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MVI INVESTMENTS, INC.",
"enumeration_date": "2022-02-01",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A",
"authorized_official_last_name": "VARDANYAN",
"authorized_official_first_name": "MARIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-650-2225",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.