Lavender Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAVENDER HOME HEALTH

Practice address

6901 Topanga Canyon Blvd Ste 205
Canoga Park, CA 91303-2376

Phone

(818) 396-9209

NPI assigned

Jan 21, 2019

Last updated

Jan 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ara Ghazaryan

Title

Ceo

Phone

(818) 396-9209

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104390384. Details of each certification follow.

• CCN 559349 Home health agency · Active · Details

Home health agency certification: CCN 559349

Legal name

LAVENDER HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 19, 2020

Last certification

Nov 19, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 20, 2018 in CA

Enrollment address

14827 Ventura Blvd
Ste 218
Sherman Oaks, CA 91403-5208

Listed as

Lavender Home HealthCCN 559349 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Nov 19, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jean-Claude Hage, M.D.

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1982646832

  Home health agency

  Care Compare affiliation
• Mei Yu Lai, MD

  • Internal Medicine Physician
  • Rancho Mirage, CA
  • NPI 1356364020

  Home health agency

  Care Compare affiliation
• Meelad Mohammadi, M.D

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1215303482

  Home health agency

  Care Compare affiliation
• Mihir Kishor Sanghvi, M.D.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1275827636

  Home health agency

  Care Compare affiliation
• Patricia Sotolongo, DO

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1093176075

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1104390384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 TOPANGA CANYON BLVD STE 205",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032376",
            "telephone_number": "818-396-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 TOPANGA CANYON BLVD STE 205",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032376",
            "telephone_number": "818-396-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "GHAZARYAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-396-9209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Lanuza Bravo
• Milca Lara
• Diana Larin
• Samantha Larios
• Laser Plus Imaging, LLC
• Eric David Laviaddin, PA
• Lorri Lawrence
• Monique Layne
• Aelita Lazar
• Edgardo Lazcano

• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.

Verify at the official NPI Registry.