Organization Active NPI

Mid Valley Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1164758587
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MID VALLEY HOME HEALTH CARE, INC.
Practice address
7220 Woodman Ave
Suite 206
Van Nuys, CA 91405-2648
Phone
(818) 781-3175
Fax
(818) 781-3176
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Clodiya Shahbazian TaroianNPI 1437598570
Title
RN
Phone
(818) 426-4355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7220 Woodman Ave
Suite 206
Van Nuys, CA 91405-2648

Mailing address

7220 Woodman Ave
Suite 206
Van Nuys, CA 91405-2648
Phone (818) 781-3175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100212000181 CA Part A Provider - Home Health Agency 2163566266 Practice locations: Van Nuys, CA

Home health agency certification: CCN 059488

Legal name
MID VALLEY HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 20, 2012
Last certification
Nov 15, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 3, 2009 in CA
Enrollment address
7220 Woodman Ave
Ste 206
Van Nuys, CA 91405-2668

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mid Valley Home Health Care, Inc.CCN 059488
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 20, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2027557Mid Valley Home Health Care, Inc7220 Woodman Ave Ste 206, Van Nuys, CA 91405Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

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
Clodiya Taroian Individual 5% Or Greater Direct Ownership InterestCeo May 15, 2010 100%
Corporate OfficerCeo, Cfo May 15, 2010 100%
Corporate DirectorDPCS May 15, 2010 100%
W-2 Managing EmployeeDPCS/ Administrator May 15, 2010 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1164758587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 WOODMAN AVE",
            "address_2": "SUITE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052648",
            "telephone_number": "818-781-3175",
            "fax_number": "818-781-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 WOODMAN AVE",
            "address_2": "SUITE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052648",
            "telephone_number": "818-781-3175",
            "fax_number": "818-781-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "TAROIAN",
        "authorized_official_first_name": "CLODIYA",
        "authorized_official_middle_name": "SHAHBAZIAN",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "818-426-4355"
    },
    "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.