Organization Active NPI

Health Path Home Care Inc

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1285291658
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH PATH HOME CARE INC
Practice address
9003 Reseda Blvd Ste 210
Northridge, CA 91324-3937
Phone
(818) 280-3773
Fax
(858) 952-0509
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Sofia Djavadian
Title
Ceo
Phone
(818) 280-3773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9003 Reseda Blvd Ste 210
Northridge, CA 91324-3937

Mailing address

9003 Reseda Blvd Ste 210
Northridge, CA 91324-3937
Phone (818) 280-3773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200406001826 CA Part A Provider - Home Health Agency 7810326279 Practice locations: Northridge, CA

Home health agency certification: CCN 559480

Legal name
HEALTH PATH HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 31, 2021
Last certification
Jan 31, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 24, 2019 in CA
Enrollment address
9003 Reseda Blvd
Ste 210
Northridge, CA 91324-3937

Care Compare: Home health agency

Medicare Care Compare
Listed as
Health Path Home Care, IncCCN 559480
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jan 31, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

9003 Reseda Blvd
Ste 210
Northridge, CA 91324
Phone (818) 280-3773

5311 Topanga Canyon Blvd
Ste 308A
Woodland Hills, CA 91364
Phone (818) 855-9114

5311 Topanga Canyon Blvd
Unit 308A
Woodland Hills, CA 91364

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Sofia Djavadian Individual 5% Or Greater Direct Ownership InterestOwner Jan 21, 2020 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member Jan 22, 2020 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member Jan 22, 2020 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member Jan 22, 2020 100%

Practitioners & affiliated clinicians

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": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1285291658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 RESEDA BLVD STE 210",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243937",
            "telephone_number": "818-280-3773",
            "fax_number": "858-952-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 RESEDA BLVD STE 210",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243937",
            "telephone_number": "818-280-3773",
            "fax_number": "858-952-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PATH HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "DJAVADIAN",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-280-3773"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.