Organization Active NPI

Pure Hands Home Health, Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1225609969
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURE HANDS HOME HEALTH, INC
Practice address
13615 Victory Blvd Ste 208
Van Nuys, CA 91401-1790
Phone
(626) 631-9200
NPI assigned
Jul 4, 2021
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Harrison Iriafen
Title
Ceo/President
Phone
(626) 631-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13615 Victory Blvd Ste 208
Van Nuys, CA 91401-1790

Mailing address

13615 Victory Blvd Ste 208
Van Nuys, CA 91401-1790
Phone (626) 631-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221228000101 CA Part A Provider - Home Health Agency 4284004706 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225609969. Details of each certification follow.

Home health agency certification: CCN 757202

Legal name
PURE HANDS HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 14, 2023
Last certification
Apr 4, 2023
Organization structure
CorporationProprietary
Incorporated
Jun 17, 2021 in CA
Enrollment address
13615 Victory Blvd
Ste 208
Van Nuys, CA 91401-1790

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pure Hands Home Health, IncCCN 757202 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Apr 14, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7401 Foothill Blvd
Tujunga, CA 91042

13615 Victory Blvd
Ste 208
Van Nuys, CA 91401
Phone (626) 631-9200

14555 Hamlin St
Ste 1A
Van Nuys, CA 91411
Phone (626) 631-9200

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Harrison Iriafen Individual 5% Or Greater Direct Ownership Interest Jun 17, 2021 100%
Corporate OfficerPresident Jun 17, 2021
Corporate DirectorPresident Jun 17, 2021
Operational/Managerial ControlPresident Jun 17, 2021

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": "1625356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1225609969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011790",
            "telephone_number": "626-631-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011790",
            "telephone_number": "626-631-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HANDS HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-04",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "IRIAFEN",
        "authorized_official_first_name": "HARRISON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "626-631-9200"
    },
    "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.