Organization Active NPI

Excellent Home Health Agency Inc

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1306402847
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXCELLENT HOME HEALTH AGENCY INC
Practice address
4220 E Los Angeles Ave Ste 102
Simi Valley, CA 93063-3305
Phone
(818) 935-1687
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Mrs. Ruzanna Adamyan
Title
Ceo
Phone
(818) 935-1687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4220 E Los Angeles Ave Ste 102
Simi Valley, CA 93063-3305

Mailing address

4220 E Los Angeles Ave Ste 102
Simi Valley, CA 93063-3305
Phone (818) 935-1687

National Provider Directory

National Provider Directory

Locations

4220 E Los Angeles Ave
Ste 102
Simi Valley, CA 93063
Phone (805) 582-9389

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1306402847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 E LOS ANGELES AVE STE 102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633305",
            "telephone_number": "818-935-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 E LOS ANGELES AVE STE 102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633305",
            "telephone_number": "818-935-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "ADAMYAN",
        "authorized_official_first_name": "RUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-935-1687",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.