Vista Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VISTA HOME HEALTH

Practice address

7335 Topanga Canyon Blvd Ste 200
Canoga Park, CA 91303-3392

Phone

(747) 777-4586

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Mher Danielyan

Title

Ceo

Phone

(747) 777-4586

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336805787. Details of each certification follow.

• CCN 757470 Home health agency · Active · Details

Home health agency certification: CCN 757470

Legal name

VISTA HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 2, 2023

Last certification

Sep 20, 2023

Organization structure

CorporationProprietary

Incorporated

Jul 27, 2021 in CA

Enrollment address

7335 Topanga Canyon Blvd
Ste 200
Canoga Park, CA 91303-3392

Listed as

Vista Home HealthCCN 757470 · All quality measures

Overall star rating

1.5 of 5

Ownership

-

Certified

Oct 2, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1336805787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 TOPANGA CANYON BLVD STE 200",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 TOPANGA CANYON BLVD STE 200",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033392",
            "telephone_number": "747-777-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "DANIELYAN",
        "authorized_official_first_name": "MHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-777-4586",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.