Organization Active NPI

Melody Home Health Care Inc

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1164020236
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MELODY HOME HEALTH CARE INC
Practice address
12444 Victory Blvd Ste 217
North Hollywood, CA 91606-3199
Phone
(747) 282-0370
NPI assigned
Oct 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Melanya Manukyan
Title
Ceo
Phone
(747) 282-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12444 Victory Blvd Ste 217
North Hollywood, CA 91606-3199

Mailing address

12444 Victory Blvd Ste 217
North Hollywood, CA 91606-3199
Phone (747) 282-0370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220523000046 CA Part A Provider - Home Health Agency 6305244328 Practice locations: North Hollywood, CA

Home health agency certification: CCN 757158

Legal name
MELODY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 21, 2022
Last certification
Nov 11, 2022
Organization structure
CorporationProprietary
Incorporated
Aug 26, 2020 in CA
Enrollment address
12444 Victory Blvd
Ste 217
North Hollywood, CA 91606-3199

Care Compare: Home health agency

Medicare Care Compare
Listed as
Melody Home Health Care, IncCCN 757158
Overall star rating
4 of 5
Ownership
-
Certified
Nov 21, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
Ste 217
North Hollywood, CA 91606
Phone (747) 282-0370

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
Melanya Manukyan Individual 5% Or Greater Direct Ownership InterestCeo Aug 26, 2020 100%
Corporate OfficerCeo Aug 26, 2020 100%
Corporate DirectorCeo Aug 26, 2020 100%
W-2 Managing EmployeeCeo Aug 26, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1164020236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 217",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-282-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 217",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-282-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "MELANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-282-0370"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.