NPIMap

Organization Active NPI

Valley Home Health Care Agency, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1255458170
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000733 Issued in CA
Legal business name
VALLEY HOME HEALTH CARE AGENCY, INC.
Practice address
5530 Corbin Ave
Suite 112
Tarzana, CA 91356-2914
Phone
(818) 300-0223
Fax
(818) 300-0227
NPI assigned
Mar 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Nydia Sta Maria
Title
Ceo
Phone
(818) 300-0223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000733 CA Primary

Addresses

Primary practice location

5530 Corbin Ave
Suite 112
Tarzana, CA 91356-2914

Mailing address

5530 Corbin Ave
Suite 112
Tarzana, CA 91356-2914
Phone (818) 300-0223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070511000228 CA Part A Provider - Home Health Agency 3375649155 Practice locations: Tarzana, CA

Home health agency certification: CCN 059049

Legal name
VALLEY HOME HEALTH CARE AGENCY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 25, 2009
Last certification
Mar 23, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 13, 2007 in CA
Enrollment address
5530 Corbin Ave
Ste 112
Tarzana, CA 91356-6048
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Valley Home Health Care Agency, IncCCN 059049
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Feb 25, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1088412Valley Home Health Care Agency, Inc5530 Corbin Ave Ste 112, Tarzana, CA 91356Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Naomi Sta Maria Individual 5% Or Greater Direct Ownership Interest Feb 11, 2021 25%
Corporate OfficerSecretary, Board Member Feb 11, 2021 25%
Racquel S Quema Individual 5% Or Greater Direct Ownership Interest Feb 11, 2021 25%
Corporate OfficerCfo, Board Member Feb 11, 2021 25%
Nydia Sta Maria Individual Contracted Managing EmployeeAdministrator Feb 11, 2021 100%
5% Or Greater Direct Ownership Interest Feb 11, 2021 25%
Corporate OfficerCeo, Board Member Feb 11, 2021 25%
Rocelio Hilario Individual W-2 Managing EmployeeDPCS Feb 11, 2021 100%
Leonilo S Sta Maria Individual 5% Or Greater Direct Ownership Interest Feb 11, 2021 25%
Corporate OfficerBoard Member Feb 11, 2021 25%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1255458170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 CORBIN AVE",
            "address_2": "SUITE 112",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562914",
            "telephone_number": "818-300-0223",
            "fax_number": "818-300-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 CORBIN AVE",
            "address_2": "SUITE 112",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562914",
            "telephone_number": "818-300-0223",
            "fax_number": "818-300-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HOME HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "STA MARIA",
        "authorized_official_first_name": "NYDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-300-0223"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.