Organization Active NPI

Aka Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1306576343
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AKA HOME HEALTH INC
Practice address
14529 Archwood St Ste 202
Van Nuys, CA 91405-4602
Phone
(818) 855-9636
Fax
(818) 279-0949
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Anita KhudanyanNPI 1124950472
Title
Ceo
Phone
(818) 855-9636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14529 Archwood St Ste 202
Van Nuys, CA 91405-4602

Mailing address

14529 Archwood St Ste 202
Van Nuys, CA 91405-4602
Phone (818) 855-9636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821000811 CA Part A Provider - Home Health Agency 3274071287 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757867

Legal name
AKA HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 18, 2025
Last certification
Mar 18, 2025
Organization structure
CorporationProprietary
Incorporated
in CA
Enrollment address
14529 Archwood St
Ste 202
Van Nuys, CA 91405-4602
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aka Home Health Inc.CCN 757867
Ownership
-
Certified
Mar 18, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14529 Archwood St
Ste 202
Van Nuys, CA 91405
Phone (818) 855-9636

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
Anita Khudanyan Individual 5% Or Greater Direct Ownership InterestCeo May 11, 2022 100%
Corporate OfficerCeo May 11, 2022 100%
Corporate DirectorCeo May 11, 2022 100%
W-2 Managing EmployeeCeo May 11, 2022 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1306576343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14529 ARCHWOOD ST STE 202",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054602",
            "telephone_number": "818-855-9636",
            "fax_number": "818-279-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14529 ARCHWOOD ST STE 202",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054602",
            "telephone_number": "818-855-9636",
            "fax_number": "818-279-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "KHUDANYAN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-855-9636"
    },
    "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.