Organization Active NPI

Vanessa Home Health Services, LLC

Doing business as Vanessa Home Health Services

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1265072938
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VANESSA HOME HEALTH SERVICES, LLC
Doing business as
Vanessa Home Health Services
Practice address
18740 Ventura Blvd Ste 209
Tarzana, CA 91356-6354
Phone
(818) 804-2929
Fax
(818) 600-9210
NPI assigned
Jan 10, 2020
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Anahit KrivanosNPI 1356815930
Title
Ceo
Phone
(818) 804-2929

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 NU Primary

Addresses

Primary practice location

18740 Ventura Blvd Ste 209
Tarzana, CA 91356-6354

Mailing address

18740 Ventura Blvd Ste 209
Tarzana, CA 91356-6354
Phone (818) 804-2929

Other names 1

  • Vanessa Home Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@vanessahomehealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200521002154 CA Part A Provider - Home Health Agency 7214358514 Practice locations: Tarzana, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265072938. Details of each certification follow.

Home health agency certification: CCN 559353

Legal name
VANESSA HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 18, 2020
Last certification
Dec 18, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 11, 2018 in CA
Enrollment address
18740 Ventura Blvd
Ste 209
Tarzana, CA 91356-6354
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vanessa Home Health ServicesCCN 559353 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Dec 18, 2020
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
05D2205716Vanessa Home Health Services18740 Ventura Blvd Suite 209, Tarzana, CA 91356Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

18740 Ventura Blvd
Ste 209
Tarzana, CA 91356
Phone (818) 667-8838

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
Anahit Krivanos Individual 5% Or Greater Direct Ownership Interest Jan 11, 2018
Raisa Keshishyan Individual Corporate OfficerAdministrator Designee Dec 26, 2017
W-2 Managing Employee Dec 26, 2017

Practitioners & affiliated clinicians

Practitioners 3

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 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": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1265072938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 209",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566354",
            "telephone_number": "818-804-2929",
            "fax_number": "818-600-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 209",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566354",
            "telephone_number": "818-804-2929",
            "fax_number": "818-600-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "KRIVANOS",
        "authorized_official_first_name": "ANAHIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-804-2929"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@vanessahomehealth.com",
            "affiliation": "N",
            "address_1": "18740 Ventura Blvd Ste 209",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913566354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vanessa Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vanessa Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.