Serani Homehealth

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERANI HOMEHEALTH

Practice address

14545 Friar St Ste 237E
Van Nuys, CA 91411-2397

Phone

(904) 990-0099

NPI assigned

Oct 5, 2020

Organization subpart

No

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

Authorized official

Name

Seryozha Vardazaryan

Title

Ceo

Phone

(904) 499-0009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757822

Legal name

SERANI HOMEHEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 23, 2024

Last certification

Aug 23, 2024

Organization structure

CorporationProprietary

Incorporated

Oct 5, 2020 in CA

Enrollment address

14545 Friar St
Ste 237E
Van Nuys, CA 91411-4719

Listed as

Serani HomehealthCCN 757822 · All quality measures

Ownership

-

Certified

Aug 23, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1215534078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 237E",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 237E",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "904-990-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERANI HOMEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "VARDAZARYAN",
        "authorized_official_first_name": "SERYOZHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-499-0009"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tannaz Separzadeh, LMFT
• Sepulveda Optimal Health Care Inc
• Sepulveda Rehabilitation Center
• Blanca Isela Sepulveda, M.S.
• Sera Healthcare
• Serani Hospice
• Serendib Healthways, Inc
• Serendib Healthways, Inc
• Serene Touch Home Health, Inc.
• Serene Touch Hospice, Inc

• 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 Oct 5, 2020; 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.