Organization Active NPI

Medline Home Health Care,Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1205293875
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDLINE HOME HEALTH CARE,INC.
Practice address
5605 Woodman Ave Ste 203
Van Nuys, CA 91401-4703
Phone
(818) 523-2824
NPI assigned
Jan 27, 2016
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mrs. Anait Davtyan
Title
President
Phone
(818) 523-2824

Specialties & licenses 1

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

Addresses

Primary practice location

5605 Woodman Ave Ste 203
Van Nuys, CA 91401-4703

Mailing address

5605 Woodman Ave Ste 203
Van Nuys, CA 91401-4703
Phone (818) 523-2824

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
05D2155417Medline Home Health Care, Inc5605 Woodman Avenue Suite 203, Van Nuys, CA 91401Certificate of waiverSep 27, 2026

National Provider Directory

National Provider Directory

Locations

5605 Woodman Ave
Ste 203
Van Nuys, CA 91401
Phone (818) 523-2824

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1205293875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 WOODMAN AVE STE 203",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014703",
            "telephone_number": "818-523-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 WOODMAN AVE STE 203",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014703",
            "telephone_number": "818-523-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINE HOME HEALTH CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "ANAIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-523-2824",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "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 Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.