Organization Active NPI

Safe Haven Home Health

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1295486371
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAFE HAVEN HOME HEALTH
Practice address
14531 Hamlin St Ste 275
Van Nuys, CA 91411-4126
Phone
(818) 428-8595
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Gohar Pambukyan
Title
President/Ceo
Phone
(818) 428-8595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14531 Hamlin St Ste 275
Van Nuys, CA 91411-4126

Mailing address

14531 Hamlin St Ste 275
Van Nuys, CA 91411-4126
Phone (818) 428-8595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230330000089 CA Part A Provider - Home Health Agency 9436523685 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757776

Legal name
SAFE HAVEN HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 30, 2024
Last certification
Apr 17, 2024
Organization structure
CorporationProprietary
Enrollment address
14531 Hamlin St
Ste 275
Van Nuys, CA 91411-4126

Care Compare: Home health agency

Medicare Care Compare
Listed as
Safe Haven Home HealthCCN 757776 · All quality measures
Ownership
-
Certified
Apr 30, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3415 S Sepulveda Blvd
Ste 1143
Los Angeles, CA 90034
Phone (424) 527-2013

14531 Hamlin St
Ste 275
Van Nuys, CA 91411
Phone (818) 428-8595

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
Gohar Pambukyan Individual 5% Or Greater Direct Ownership InterestPresident Mar 15, 2025 49%
Corporate OfficerCeo Mar 15, 2025 49%
Corporate DirectorCeo Mar 15, 2025 49%
W-2 Managing Employee Mar 15, 2025 49%
Vahagn Yervandyan Individual 5% Or Greater Direct Ownership InterestCfo Mar 15, 2025 51%
Corporate OfficerCfo Jan 11, 2022 51%
W-2 Managing EmployeeCfo Jan 11, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1295486371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14531 HAMLIN ST STE 275",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114126",
            "telephone_number": "818-428-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14531 HAMLIN ST STE 275",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114126",
            "telephone_number": "818-428-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "PAMBUKYAN",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-428-8595"
    },
    "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.