Opal Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPAL HOME HEALTH, INC.

Practice address

5301 Laurel Canyon Blvd # 237B
Valley Village, CA 91607-2736

Phone

(818) 614-3332

Fax

(818) 614-3332

NPI assigned

Sep 27, 2022

Organization subpart

Yes

Parent organization

HERITAGE INVESTMENTS, INC.As reported in NPPES

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

Authorized official

Name

Ms. Anush Petikyan

Title

Ceo

Phone

(818) 614-3332

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1245954916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD # 237B",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736",
            "telephone_number": "818-614-3332",
            "fax_number": "818-614-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD # 237B",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736",
            "telephone_number": "818-614-3332",
            "fax_number": "818-614-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE INVESTMENTS, INC.",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "PETIKYAN",
        "authorized_official_first_name": "ANUSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-614-3332",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Valley Village, CA
• Providers in Valley Village, 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 Mar 27, 2023; 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.