Organization Active NPI

Livlife Home Health, Inc.

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1265094163
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 25, 2021

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 559307 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 9, 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
05D2202120Livlife Home Health, Inc22151 Ventura Blvd Ste 203, Woodland Hills, CA 91364Certificate of waiverNov 23, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Maryam Amiriandi Individual 5% Or Greater Direct Ownership InterestCeo Apr 24, 2023 60%
Corporate Officer Apr 24, 2023 60%
Corporate Director Apr 24, 2023 60%
Iman Moghaddam Individual 5% Or Greater Direct Ownership InterestCfo 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.

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

Verify at the official NPI Registry.