Vesta Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VESTA HOME HEALTH CARE

Practice address

512 S Brand Blvd Ste 204
San Fernando, CA 91340-4957

Phone

(747) 253-7579

Fax

(747) 253-7587

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Anna Barseghian

Title

C.E.O. / President

Phone

(747) 253-7587

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 553183

Legal name

VESTA HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 21, 2019

Last certification

Feb 21, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 15, 2015 in CA

Enrollment address

512 S Brand Blvd
Ste 204
San Fernando, CA 91340-4957

Listed as

Vesta Home Health CareCCN 553183

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Feb 21, 2019

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 2

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

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1124492970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S BRAND BLVD STE 204",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404957",
            "telephone_number": "747-253-7579",
            "fax_number": "747-253-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S BRAND BLVD STE 204",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404957",
            "telephone_number": "747-253-7579",
            "fax_number": "747-253-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTA HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "BARSEGHIAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "C.E.O. / PRESIDENT",
        "authorized_official_telephone_number": "747-253-7587"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in San Fernando, CA
• Providers in San Fernando, 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 Nov 17, 2015; 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.