Active NPI
Livlife Home Health, Inc.
- Home Health Agency
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIVLIFE HOME HEALTH, INC.
- Practice address
- 8700 Reseda Blvd Ste 219a
Northridge, CA 91324-4041 - Phone
- (818) 825-4103
- NPI assigned
- Jul 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sweety Eapen
- Title
- Ceo
- Phone
- (818) 812-6505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
8700 Reseda Blvd Ste 219a
Northridge, CA 91324-4041
Mailing address
8700 Reseda Blvd Ste 219a
Northridge, CA 91324-4041
Phone (818) 812-6505
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://dslhhc.com/hhcweb/logon.aspx | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200505001569 | CA | Part A Provider - Home Health Agency | 1658702766 | Practice locations: Woodland Hills, CA |
Home health agency certification: CCN 559307
- Legal name
- LIVLIFE HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 9, 2020
- Last certification
- Oct 9, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 7, 2018 in CA
- Enrollment address
- 22151 Ventura Blvd
Ste 203
Woodland Hills, CA 91364-1666
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Livlife Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 9, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2202120 | Livlife Home Health, Inc | Certificate of waiver | Nov 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
22151 Ventura Blvd
Ste 203
Woodland Hills, CA 91364
Phone (818) 825-4103
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Maryam Amiriandi | 5% Or Greater Direct Ownership Interest | Apr 24, 2023 | 60% |
| Corporate Officer | Apr 24, 2023 | 60% | |
| Corporate Director | Apr 24, 2023 | 60% | |
| Iman Moghaddam | 5% Or Greater Direct Ownership Interest | Apr 24, 2023 | 40% |
| Corporate Officer | Apr 24, 2023 | 40% | |
| W-2 Managing Employee | Sep 24, 2021 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Woodland Hills, CA
- NPI 1396885570
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616630400000",
"number": "1265094163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 RESEDA BLVD STE 219A",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244041",
"telephone_number": "818-812-6505",
"fax_number": "713-913-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 RESEDA BLVD STE 219A",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244041",
"telephone_number": "818-825-4103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVLIFE HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-01",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A",
"authorized_official_last_name": "EAPEN",
"authorized_official_first_name": "SWEETY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-812-6505"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://dslhhc.com/hhcweb/logon.aspx",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8700 Reseda Blvd Ste 219A",
"city": "Northridge",
"state": "CA",
"country_code": "US",
"postal_code": "913244041",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.