Healing Souls Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALING SOULS HOME HEALTH CARE

Practice address

6501 Foothill Blvd Ste 204a
Tujunga, CA 91042-2768

Phone

(323) 854-5560

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Shushan Oktanyan

Title

Ceo

Phone

(323) 854-5560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757814

Legal name

HEALING SOULS HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 1, 2024

Last certification

Nov 1, 2024

Organization structure

CorporationProprietary

Incorporated

Jun 9, 2022 in CA

Enrollment address

6501 Foothill Blvd
Ste 204a
Tujunga, CA 91042-2768

Listed as

Healing Souls Home Health CareCCN 757814

Ownership

-

Certified

Nov 1, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1174245104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 FOOTHILL BLVD STE 204A",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422768",
            "telephone_number": "323-854-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 FOOTHILL BLVD STE 204A",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422768",
            "telephone_number": "323-854-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SOULS HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "OKTANYAN",
        "authorized_official_first_name": "SHUSHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-854-5560"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Tujunga, CA
• Providers in Tujunga, 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 15, 2022; 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.