Active NPI
KMD Home Health Inc
- Home Health Agency
- Van Nuys, CA
National Provider Identifier
1093567265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KMD HOME HEALTH INC
- Practice address
- 13615 Victory Blvd Ste 214
Van Nuys, CA 91401-1761 - Phone
- (424) 356-9296
- NPI assigned
- Apr 2, 2024
- 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
- Mrs. Marine Boyajyan
- Title
- Ceo
- Phone
- (424) 356-9296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
13615 Victory Blvd Ste 214
Van Nuys, CA 91401-1761
Mailing address
13615 Victory Blvd Ste 214
Van Nuys, CA 91401-1761
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1093567265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13615 VICTORY BLVD STE 214",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13615 VICTORY BLVD STE 214",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011761",
"telephone_number": "424-356-9296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMD HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-02",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "BOYAJYAN",
"authorized_official_first_name": "MARINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "424-356-9296",
"authorized_official_name_prefix": "Mrs."
},
"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 Apr 2, 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.