Organization Active NPI

Influential Home Health, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1265038863
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INFLUENTIAL HOME HEALTH, INC.
Practice address
19634 Ventura Blvd Ste 215
Tarzana, CA 91356-2966
Phone
(818) 302-1949
NPI assigned
Dec 9, 2020
Last updated
Mar 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Vahan Vahanyan
Title
Owner
Phone
(828) 900-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

19634 Ventura Blvd Ste 215
Tarzana, CA 91356-2966

Mailing address

19634 Ventura Blvd Ste 215
Tarzana, CA 91356-2966
Phone (818) 302-1949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210202002321 CA Part A Provider - Home Health Agency 6406260447 Practice locations: Tarzana, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265038863. Details of each certification follow.

Home health agency certification: CCN 753134

Legal name
INFLUENTIAL HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 22, 2022
Last certification
Apr 22, 2022
Organization structure
CorporationProprietary
Incorporated
Nov 23, 2020 in CA
Enrollment address
19634 Ventura Blvd
Ste 215
Tarzana, CA 91356-7139

Care Compare: Home health agency

Medicare Care Compare
Listed as
Influential Home Health, Inc.CCN 753134 · All quality measures
Ownership
-
Certified
Apr 22, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

19634 Ventura Blvd
Ste 215
Tarzana, CA 91356
Phone (818) 302-1349

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Vahan Vahanyan Individual 5% Or Greater Direct Ownership Interest Nov 23, 2020 100%
Corporate OfficerCeo Nov 23, 2020 100%
Corporate DirectorBoard Member Nov 23, 2020 100%
Mano Afrikyan Individual W-2 Managing Employee Dec 2, 2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1265038863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 215",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "818-302-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 215",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "818-302-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFLUENTIAL HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "VAHANYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-900-0009"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.