Organization Active NPI

La Wellness Health Care, Inc.

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1295019669
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 23, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 059751
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 27, 2016
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
05D2105611La Wellness Health Care, Inc.5652 Vineland Ave Ste 202a, North Hollywood, CA 91601Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Irina Isounts Individual 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Corporate OfficerCeo, Cfo, Secretary Jan 1, 2016 100%
Corporate DirectorCeo, Cfo, Secretary Jan 1, 2016 100%
W-2 Managing EmployeeCeo, Cfo, Secretary Jan 1, 2016 100%
Operational/Managerial ControlCeo, Cfo, Secretary Jan 1, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "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

Verify at the official NPI Registry.