Organization Active NPI

Well Care Home Health Care Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1184116469
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELL CARE HOME HEALTH CARE INC
Practice address
13735 Victory Blvd Ste 3
Van Nuys, CA 91401
Phone
(818) 285-8908
Fax
(818) 285-8924
NPI assigned
Jun 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Maya Karakhanyan
Title
Ceo
Phone
(818) 965-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13735 Victory Blvd Ste 3
Van Nuys, CA 91401

Mailing address

13735 Victory Blvd # 303
Van Nuys, CA 91401-2300
Phone (818) 285-8908

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180911001339 CA Part A Provider - Home Health Agency 1759631898 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559162

Legal name
WELL CARE HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 19, 2020
Last certification
Feb 19, 2020
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Incorporated
May 18, 2018 in CA
Enrollment address
13746 Victory Blvd
Ste 313
Van Nuys, CA 91401-6726

Care Compare: Home health agency

Medicare Care Compare
Listed as
Well Care Home Health Care IncCCN 559162 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Feb 19, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

13735 Victory Blvd
Ste 3
Van Nuys, CA 91401
Phone (818) 285-8908

13746 Victory Blvd
Ste 313
Van Nuys, CA 91401
Phone (818) 285-8908

13735 Victory Blvd
#303
Van Nuys, CA 91401

Ownership & related parties

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.

NameRoleSinceShare
Alla Boksyan Individual 5% Or Greater Direct Ownership Interest May 18, 2018 50%
Corporate OfficerCeo May 18, 2018 50%
W-2 Managing EmployeePresident May 18, 2018 50%
Maya Karakhanyan Individual 5% Or Greater Direct Ownership Interest May 18, 2018 50%
Corporate OfficerCeo May 18, 2018 50%
W-2 Managing EmployeeCeo May 18, 2018 50%

Practitioners & affiliated clinicians

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": "1527984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1184116469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13735 VICTORY BLVD # 303",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012300",
            "telephone_number": "818-285-8908",
            "fax_number": "818-285-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13735 VICTORY BLVD STE 3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91401",
            "telephone_number": "818-285-8908",
            "fax_number": "818-285-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-03",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "KARAKHANYAN",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-965-9555"
    },
    "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.