Avb & LV Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVB & LV CORPORATION

Doing business as

Temple of Life Home Care

Practice address

18340 Ventura Blvd Ste 220
Tarzana, CA 91356

Phone

(747) 236-3155

Fax

(888) 252-0798

NPI assigned

Nov 13, 2017

Last updated

Aug 13, 2018By 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

Alexander V Bilyy, RN

Title

Ceo

Phone

(747) 236-3155

Specialties & licenses 1

Addresses

Other names 1

• Temple of Life Home Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114430139. Details of each certification follow.

• CCN 559132 Home health agency · Active · Details

Home health agency certification: CCN 559132

Legal name

AVB & LV CORPORATION

Doing business as

TEMPLE OF LIFE HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 21, 2019

Last certification

Nov 21, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 25, 2017 in CA

Enrollment address

18340 Ventura Blvd
Ste 220
Tarzana, CA 91356-4269

Listed as

Temple of Life Home CareCCN 559132 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Nov 21, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 3

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

• Alla Maksimova, NP

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1912462961

  Home health agency

  Care Compare affiliation
• Anna Milstein, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1003914227

  Home health agency

  Care Compare affiliation
• Vlad Nusinovich, M.D.

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1144288036

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1114430139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 VENTURA BLVD",
            "address_2": "SUITE 220",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564234",
            "telephone_number": "818-390-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18340 VENTURA BLVD STE 220",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "747-236-3155",
            "fax_number": "888-252-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVB & LV CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "BILYY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-236-3155",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple of Life Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Avalos, LVN
• Michelle Lynn Avalos
• Avanguard Medical Group Inc
• Avanguard Surgery Center, LLC
• Avantgarde Senior Living
• Gloria Avendano
• Mariam Avetisyan
• Aviva Home Health Inc
• Avs Healthcare Inc (Tarzana Valley Pharmacy)
• Susan Awdishu, PT

• Home Health Agency in Tarzana, CA
• Providers in Tarzana, 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 Aug 13, 2018; 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.