Organization Active NPI

Wonderful Home Health Care,Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1245086230
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WONDERFUL HOME HEALTH CARE,INC
Practice address
11420 Santa Monica Blvd Unit 25872
Los Angeles, CA 90025-8855
Phone
(818) 582-5832
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Inna Vakshlyak
Title
Admin
Phone
(818) 582-5832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11420 Santa Monica Blvd Unit 25872
Los Angeles, CA 90025-8855

Mailing address

11420 Santa Monica Blvd Unit 25872
Los Angeles, CA 90025-8855
Phone (818) 582-5832

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1245086230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 SANTA MONICA BLVD UNIT 25872",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258855",
            "telephone_number": "818-582-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 SANTA MONICA BLVD UNIT 25872",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258855",
            "telephone_number": "818-582-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL HOME HEALTH CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "VAKSHLYAK",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "818-582-5832"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.