Organization Active NPI

Mavi Home Health

  • Home Health Agency
  • Studio City, CA
National Provider Identifier
1093468753
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
10700 Ventura Blvd
Ste B
Studio City, CA 91604-4614
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mavi Home HealthCCN 758120
Ownership
-
Certified
Aug 8, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mariam Vardanyan Individual 5% Or Greater Indirect Ownership InterestCeo/Pres/Cfo/Sec/Brdmbr Jan 17, 2022 100%
Corporate OfficerCeo/Pres/Cfo/Sec/Brdmbr Jan 17, 2022 100%
Corporate DirectorCeo/Pres/Cfo/Sec/Brdmbr Jan 17, 2022 100%
W-2 Managing EmployeeCeo/Pres/Cfo/Sec/Brdmbr Jan 17, 2022 100%
Mvi Investments Inc Organization, Studio City, CA Corporation 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

Verify at the official NPI Registry.