Organization Active NPI

Healing Path Home Healthcare Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1114568730
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALING PATH HOME HEALTHCARE INC
Practice address
6320 Van Nuys Blvd Ste 307B
Van Nuys, CA 91401-6662
Phone
(818) 922-2369
NPI assigned
Oct 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Samvel Panosyan
Title
Ceo
Phone
(818) 922-2369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6320 Van Nuys Blvd Ste 307B
Van Nuys, CA 91401-6662

Mailing address

6320 Van Nuys Blvd Ste 307B
Van Nuys, CA 91401-6662
Phone (818) 922-2369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200610002104 CA Part A Provider - Home Health Agency 9436570868 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559303

Legal name
HEALING PATH HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 5, 2020
Last certification
Aug 5, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 28, 2019 in CA
Enrollment address
6320 Van Nuys Blvd
Ste 307B
Van Nuys, CA 91401-6662

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healing Path Home Healthcare, IncCCN 559303 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Aug 5, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

6320 Van Nuys Blvd
Ste 307B
Van Nuys, CA 91401
Phone (818) 303-1499

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
Samvel Panosyan Individual 5% Or Greater Direct Ownership InterestOwner May 28, 2019 100%
Corporate OfficerCeo-Chairman of Board May 28, 2019 100%
Corporate DirectorCeo May 28, 2019 100%
W-2 Managing Employee May 28, 2019 100%
Operational/Managerial ControlCeo May 28, 2019 100%
Isabel Folgado Individual W-2 Managing EmployeeAd;DPCS Apr 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1114568730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 VAN NUYS BLVD STE 307B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016662",
            "telephone_number": "818-922-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 VAN NUYS BLVD STE 307B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016662",
            "telephone_number": "818-922-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PATH HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "PANOSYAN",
        "authorized_official_first_name": "SAMVEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-922-2369"
    },
    "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.