PMS Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PMS HOME HEALTH CARE, INC

Practice address

6314 Van Nuys Blvd Ste 217
Van Nuys, CA 91401-2625

Phone

(818) 849-6201

NPI assigned

Sep 19, 2019

Organization subpart

No

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

Authorized official

Name

Khachik Davtyan

Title

Ceo

Phone

(818) 849-6201

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757027

Legal name

PMS HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 17, 2021

Last certification

Dec 17, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 12, 2019 in CA

Enrollment address

6314 Van Nuys Blvd
Ste 217
Van Nuys, CA 91401-2625

Listed as

PMS Home Health Care, IncCCN 757027

Ownership

Proprietary

Certified

Dec 17, 2021

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 1

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": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1174173298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 VAN NUYS BLVD STE 217",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012625",
            "telephone_number": "818-849-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 VAN NUYS BLVD STE 217",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012625",
            "telephone_number": "818-849-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMS HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "KHACHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-849-6201"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Sep 19, 2019; 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.