Organization Active NPI

Our Place Home Care, Inc.

  • Home Health Agency
  • Newhall, CA
National Provider Identifier
1255191573
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OUR PLACE HOME CARE, INC.
Practice address
22938 Lyons Ave Unit B
Newhall, CA 91321-2718
Phone
(818) 740-9340
NPI assigned
Mar 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Nver DavtianNPI 1205231875
Title
Owner
Phone
(818) 740-9340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

22938 Lyons Ave Unit B
Newhall, CA 91321-2718

Mailing address

22938 Lyons Ave Unit B
Newhall, CA 91321-2718
Phone (818) 740-9340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240509001462 CA Part A Provider - Home Health Agency 3072954973 Practice locations: Newhall, CA

Home health agency certification: CCN 758106

Legal name
OUR PLACE HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 31, 2025
Last certification
Jul 22, 2025
Organization structure
CorporationProprietary
Enrollment address
22938 Lyons Ave
Unit B
Newhall, CA 91321-2718

Care Compare: Home health agency

Medicare Care Compare
Listed as
Our Place Home Care, IncCCN 758106 · All quality measures
Ownership
-
Certified
Jul 31, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

22938 Lyons Ave
Unit B
Newhall, CA 91321
Phone (747) 666-7574

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
Nver Davtian Individual 5% Or Greater Direct Ownership Interest Mar 7, 2024 100%
Corporate OfficerCeo Mar 7, 2024 100%
Corporate DirectorBoard Director Mar 7, 2024 100%
W-2 Managing EmployeeAd; Mar 7, 2024 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1255191573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22938 LYONS AVE UNIT B",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212718",
            "telephone_number": "818-740-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22938 LYONS AVE UNIT B",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212718",
            "telephone_number": "818-740-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR PLACE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "DAVTIAN",
        "authorized_official_first_name": "NVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-740-9340"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

Verify at the official NPI Registry.