Organization Active NPI

Blue Home Health Services Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1104690940
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLUE HOME HEALTH SERVICES INC
Practice address
14431 Hamlin St Ste 204
Van Nuys, CA 91401-1410
Phone
(323) 366-5410
Fax
(323) 366-5457
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Narine Martinyan
Title
Ceo
Phone
(323) 366-5410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14431 Hamlin St Ste 204
Van Nuys, CA 91401-1410

Mailing address

14431 Hamlin St Ste 204
Van Nuys, CA 91401-1410
Phone (323) 366-5410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250117001046 CA Part A Provider - Home Health Agency 9436688520 Practice locations: Van Nuys, CA

Home health agency certification: CCN 758082

Legal name
BLUE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 25, 2025
Last certification
Aug 15, 2025
Organization structure
CorporationProprietary
Enrollment address
14431 Hamlin St
Ste 204
Van Nuys, CA 91401-1410

Care Compare: Home health agency

Medicare Care Compare
Listed as
Blue Home Health Services, Inc.CCN 758082
Ownership
-
Certified
Aug 25, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14431 Hamlin St
Ste 204
Van Nuys, CA 91401
Phone (323) 366-5410

Ownership & related parties

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.

NameRoleSinceShare
Narine Martinyan Individual 5% Or Greater Direct Ownership InterestCeo Nov 11, 2021 100%
Corporate OfficerCeo Nov 11, 2021
Corporate DirectorCeo Nov 11, 2021
W-2 Managing EmployeeCeo Nov 11, 2021

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1104690940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14431 HAMLIN ST STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011410",
            "telephone_number": "323-366-5410",
            "fax_number": "323-366-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14431 HAMLIN ST STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011410",
            "telephone_number": "323-366-5410",
            "fax_number": "323-366-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "MARTINYAN",
        "authorized_official_first_name": "NARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-366-5410"
    },
    "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

Verify at the official NPI Registry.