Organization Active NPI

White Guardian Home Health Care Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1316695802
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WHITE GUARDIAN HOME HEALTH CARE INC
Practice address
14531 Hamlin St Ste 265
Van Nuys, CA 91411-1627
Phone
(747) 877-8984
Fax
(747) 877-9581
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Mariam Harutyunyan
Title
Ceo
Phone
(747) 877-8984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14531 Hamlin St Ste 265
Van Nuys, CA 91411-1627

Mailing address

14531 Hamlin St Ste 265
Van Nuys, CA 91411-1627
Phone (747) 877-8984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730000202 CA Part A Provider - Home Health Agency 7113464926 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757872

Legal name
WHITE GUARDIAN HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 20, 2025
Last certification
Mar 20, 2025
Organization structure
CorporationProprietary
Enrollment address
14531 Hamlin St
Ste 265
Van Nuys, CA 91411-4126

Care Compare: Home health agency

Medicare Care Compare
Listed as
White Guardian Home Health Care IncCCN 757872
Ownership
-
Certified
Mar 20, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14531 Hamlin St
Ste 265
Van Nuys, CA 91411
Phone (747) 877-8984

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
Mariam Harutyunyan Individual 5% Or Greater Direct Ownership InterestCeo Feb 14, 2022 100%
Corporate OfficerCeo Feb 14, 2022 100%
Corporate DirectorCeo Feb 14, 2022 100%
W-2 Managing EmployeeCeo Feb 14, 2022 100%
Anna Nahapetyan Individual W-2 Managing EmployeeAd;DPCS May 1, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1316695802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14531 HAMLIN ST STE 265",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111627",
            "telephone_number": "747-877-8984",
            "fax_number": "747-877-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14531 HAMLIN ST STE 265",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111627",
            "telephone_number": "747-877-8984",
            "fax_number": "747-877-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE GUARDIAN HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-877-8984"
    },
    "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.