Davida Enterprises, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DAVIDA ENTERPRISES, INC.

Practice address

10545 Burbank Blvd Ste 116
North Hollywood, CA 91601-2245

Phone

(818) 442-5948

Fax

(818) 688-0476

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Peter Farisyan

Title

Ceo

Phone

(818) 442-5948

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559069

Legal name

DAVIDA ENTERPRISES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 24, 2019

Last certification

Sep 24, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

10545 Burbank Blvd
Ste 116
North Hollywood, CA 91601-2245

Listed as

Davida Enterprises, IncCCN 559069 · All quality measures

Ownership

Proprietary

Certified

Sep 24, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1295268613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 BURBANK BLVD STE 116",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012245",
            "telephone_number": "818-442-5948",
            "fax_number": "818-688-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 BURBANK BLVD STE 116",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012245",
            "telephone_number": "818-442-5948",
            "fax_number": "818-688-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDA ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "FARISYAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-442-5948"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Daubney
• Katrina Nicole Daugherty
• David Orkhov (AlphaCare)
• Jamie Ann David, LMFT
• Philip William David, MFT
• Marina Davidyan, MSN, FNP-BC
• Juana Davila, RN
• Juan Davis
• Stephanie Davis
• Taia Davis, LCSW

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.