Organization Active NPI

Neelima Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1144838053
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEELIMA HOME HEALTH, INC.
Practice address
17620 Sherman Way Ste 102
Van Nuys, CA 91406-3527
Phone
(818) 305-4164
NPI assigned
Jul 16, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Aram Hovhannisyan
Title
Ceo
Phone
(818) 305-4164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

17620 Sherman Way Ste 102
Van Nuys, CA 91406-3527

Mailing address

17620 Sherman Way Ste 102
Van Nuys, CA 91406-3527
Phone (818) 305-4164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200821001128 CA Part A Provider - Home Health Agency 1759707664 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144838053. Details of each certification follow.

Home health agency certification: CCN 559722

Legal name
NEELIMA HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 3, 2021
Last certification
Nov 3, 2021
Organization structure
CorporationProprietary
Incorporated
Jun 19, 2020 in CA
Enrollment address
17620 Sherman Way
Ste 102
Van Nuys, CA 91406-3527

Care Compare: Home health agency

Medicare Care Compare
Listed as
Neelima Home Health, IncCCN 559722 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Nov 3, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
Neelima Healthcare Group, Inc Organization, Van Nuys, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Jul 27, 2020 100%
Aram Hovhannisyan Individual 5% Or Greater Indirect Ownership Interest Jun 19, 2020 100%
Corporate OfficerCeo/Cfo/President/Secrectary/Boa Jun 19, 2020
Corporate DirectorCeo/Cfo/President/Secretary/Boar Jun 19, 2020
W-2 Managing EmployeeCeo/Cfo/President/Secretary/Boar Jun 19, 2020

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": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1144838053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17620 SHERMAN WAY STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063527",
            "telephone_number": "818-305-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17620 SHERMAN WAY STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063527",
            "telephone_number": "818-305-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELIMA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "ARAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-305-4164"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.