Organization Active NPI

Valley Creek Home Health

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1225636210
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VALLEY CREEK HOME HEALTH
Practice address
6005 Vineland Ave Ste 214
North Hollywood, CA 91606-4982
Phone
(818) 650-0496
NPI assigned
Oct 13, 2020
Organization subpart
Yes
Parent organization
GRIGORYAN INVESTMENTS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Sarkis Grigoryan
Title
Ceo
Phone
(818) 650-0496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6005 Vineland Ave Ste 214
North Hollywood, CA 91606-4982

Mailing address

6005 Vineland Ave Ste 214
North Hollywood, CA 91606-4982

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201222000883 CA Part A Provider - Home Health Agency 4082026737 Practice locations: North Hollywood, CA

Home health agency certification: CCN 757070

Legal name
VALLEY CREEK HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 26, 2022
Last certification
Jul 26, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 22, 2018 in CA
Enrollment address
6005 Vineland Ave
Ste 214
North Hollywood, CA 91606-4982

Care Compare: Home health agency

Medicare Care Compare
Listed as
Valley Creek Home HealthCCN 757070
Ownership
Proprietary
Certified
Jul 26, 2022
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

6005 Vineland Ave
Ste 214
North Hollywood, CA 91606
Phone (818) 650-0496

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
Sarkis Grigoryan Individual 5% Or Greater Indirect Ownership Interest Feb 22, 2018 100%
Corporate OfficerCeo/President/Cfo/Secretary Feb 22, 2018
Corporate DirectorCeo/President/Cfo/Secretary Feb 22, 2018
W-2 Managing EmployeeCeo/President/Cfo/Secretary Feb 22, 2018
Grigoryan Investments Inc Organization, North Hollywood, CA Corporation 5% Or Greater Direct Ownership Interest Aug 31, 2020 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": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1225636210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 VINELAND AVE STE 214",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 VINELAND AVE STE 214",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064982",
            "telephone_number": "818-650-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CREEK HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRIGORYAN INVESTMENTS INC.",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "SARKIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-650-0496"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.