Organization Active NPI

Wise Choice Home Health Care Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1295408862
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WISE CHOICE HOME HEALTH CARE INC
Practice address
7017 Van Nuys Blvd Ste 3
Van Nuys, CA 91405-3095
Phone
(818) 561-1130
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Ms. Lusine Abovyan
Title
Ceo
Phone
(818) 561-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7017 Van Nuys Blvd Ste 3
Van Nuys, CA 91405-3095

Mailing address

7017 Van Nuys Blvd Ste 3
Van Nuys, CA 91405-3095
Phone (818) 561-1130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230821002450 CA Part A Provider - Home Health Agency 9335501436 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757651

Legal name
WISE CHOICE HOME HEALTH CARE,INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 10, 2024
Last certification
Apr 30, 2024
Organization structure
CorporationProprietary
Incorporated
Jun 7, 2021 in CA
Enrollment address
7017 Van Nuys Blvd
Ste 3
Van Nuys, CA 91405-3095

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wise Choice Home Health Care, Inc.CCN 757651 · All quality measures
Ownership
-
Certified
May 10, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
Kimberly Quaglia Individual W-2 Managing EmployeeDPCS/Administrator Jun 7, 2021
Lusine Abovyan Individual 5% Or Greater Direct Ownership InterestN/a Jun 7, 2021 100%
Corporate OfficerCeo/Cfo/Secretary/Owner Jun 7, 2021 100%
Corporate DirectorCeo/Cfo/Secretary/Owner Jun 7, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1295408862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 VAN NUYS BLVD STE 3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053095",
            "telephone_number": "818-561-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 VAN NUYS BLVD STE 3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053095",
            "telephone_number": "818-561-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CHOICE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "ABOVYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-561-1130",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.