Organization Active NPI

Devoted Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1194207886
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEVOTED HOME HEALTH CARE, INC.
Practice address
14640 Victory Blvd Ste 208
Van Nuys, CA 91411-1623
Phone
(818) 290-3001
Fax
(844) 441-1657
NPI assigned
Aug 30, 2018
Last updated
Aug 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Karapet Dishgrikyan
Title
Ceo
Phone
(818) 290-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

14640 Victory Blvd Ste 208
Van Nuys, CA 91411-1623

Mailing address

14640 Victory Blvd Ste 208
Van Nuys, CA 91411-1623
Phone (818) 290-3001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181120000600 CA Part A Provider - Home Health Agency 4183978653 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194207886. Details of each certification follow.

Home health agency certification: CCN 559195

Legal name
DEVOTED HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 18, 2020
Last certification
Mar 18, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
14640 Victory Blvd
Ste 208
Van Nuys, CA 91411-1623

Care Compare: Home health agency

Medicare Care Compare
Listed as
Devoted Home Health Care, IncCCN 559195 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Mar 18, 2020
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
05D2180296Devoted Home Health Care, Inc14640 Victory Blvd Suite 208, Van Nuys, CA 91411Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

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
Nelli Kyurumyan Individual W-2 Managing Employee Sep 1, 2018
Karapet Dishgrikyan Individual 5% Or Greater Direct Ownership InterestCeo Jul 31, 2018 100%
Corporate OfficerCeo Jul 13, 2018 100%
Corporate DirectorCeo Sep 1, 2018
W-2 Managing EmployeeCeo Sep 1, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1194207886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "818-290-3001",
            "fax_number": "844-441-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "818-290-3001",
            "fax_number": "844-441-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "DISHGRIKYAN",
        "authorized_official_first_name": "KARAPET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-290-3001"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.