Organization Active NPI

Nautilius Homecare

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1245819473
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NAUTILIUS HOMECARE
Practice address
14545 Friar St Ste 312
Van Nuys, CA 91411-2397
Phone
(818) 516-4565
NPI assigned
Apr 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Authorized official

Name
Marianna Kacyra
Title
Ceo
Phone
(818) 516-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 312
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 312
Van Nuys, CA 91411-2397

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHR

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 312
Van Nuys, CA 91411
Phone (818) 516-4565

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705795200000",
    "number": "1245819473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 312",
            "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 312",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-516-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUTILIUS HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "KACYRA",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-516-4565"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "14545 Friar St Ste 312",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914112397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 21, 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.