Active NPI
Mid Valley Home Health Care, Inc.
- Home Health Agency
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clodiya Shahbazian Taroian
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 20, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2027557 | Mid Valley Home Health Care, Inc | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Clodiya Taroian | 5% Or Greater Direct Ownership Interest | May 15, 2010 | 100% |
| Corporate Officer | May 15, 2010 | 100% | |
| Corporate Director | May 15, 2010 | 100% | |
| W-2 Managing Employee | 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.
-
- Adult Health Nurse Practitioner
- Montrose, CA
- NPI 1437598570
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Sherman Oaks, CA
- NPI 1518992585
Home health agency
-
- Internal Medicine Physician
- Canoga Park, CA
- NPI 1124019138
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.