Active NPI
La Wellness Health Care, Inc.
- Home Health Agency
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LA WELLNESS HEALTH CARE, INC.
- Practice address
- 5652 Vineland Ave
Suite 202a
North Hollywood, CA 91601-2061 - Phone
- (818) 762-6777
- Fax
- (818) 762-8777
- NPI assigned
- Oct 4, 2011
- 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
- Irina Isounts, RN
- Title
- Ceo
- Phone
- (818) 762-6777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5652 Vineland Ave
Suite 202a
North Hollywood, CA 91601-2061
Mailing address
5652 Vineland Ave
Suite 202a
North Hollywood, CA 91601-2061
Phone (818) 762-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111223000020 | CA | Part A Provider - Home Health Agency | 3375719248 | Practice locations: North Hollywood, CA |
Home health agency certification: CCN 059751
- Legal name
- LA WELLNESS HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 27, 2016
- Last certification
- May 22, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 4, 2011 in CA
- Enrollment address
- 5652 Vineland Ave
Ste 202a
North Hollywood, CA 91601-2062
Care Compare: Home health agency
Medicare Care Compare- Listed as
- La Wellness Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 27, 2016
- 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 |
|---|---|---|---|
| 05D2105611 | La Wellness Health Care, Inc. | Certificate of waiver | Nov 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
5652 Vineland Ave
Ste 202A
North Hollywood, CA 91601
Phone (818) 762-6777
6501 Foothill Blvd
#101C
Tujunga, CA 91042
Phone (818) 561-7320
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Irina Isounts | 5% Or Greater Direct Ownership Interest | Jan 1, 2016 | 100% |
| Corporate Officer | Jan 1, 2016 | 100% | |
| Corporate Director | Jan 1, 2016 | 100% | |
| W-2 Managing Employee | Jan 1, 2016 | 100% | |
| Operational/Managerial Control | Jan 1, 2016 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- North Hollywood, CA
- NPI 1336368190
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487808000000",
"number": "1295019669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5652 VINELAND AVE",
"address_2": "SUITE 202A",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012061",
"telephone_number": "818-762-6777",
"fax_number": "818-762-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5652 VINELAND AVE",
"address_2": "SUITE 202A",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012061",
"telephone_number": "818-762-6777",
"fax_number": "818-762-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA WELLNESS HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-04",
"last_updated": "2017-02-23",
"status": "A",
"authorized_official_last_name": "ISOUNTS",
"authorized_official_first_name": "IRINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-762-6777",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.