Organization Active NPI

Oceanside Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1336814144
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OCEANSIDE HOME HEALTH INC
Practice address
6815 Sepulveda Blvd
Van Nuys, CA 91405-4402
Phone
(818) 386-8442
NPI assigned
Aug 12, 2021
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Ms. Lusine Muradyan
Title
Ceo
Phone
(818) 386-8442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6815 Sepulveda Blvd
Van Nuys, CA 91405-4402

Mailing address

6815 Sepulveda Blvd
Van Nuys, CA 91405-4402
Phone (818) 386-8442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230706000292 CA Part A Provider - Home Health Agency 6901265149 Practice locations: Canoga Park, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336814144. Details of each certification follow.

Home health agency certification: CCN 757453

Legal name
OCEANSIDE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 22, 2023
Last certification
Oct 3, 2023
Organization structure
CorporationProprietary
Incorporated
Aug 4, 2021 in CA
Enrollment address
7301 Topanga Canyon Blvd
Ste 352
Canoga Park, CA 91303-1202

Care Compare: Home health agency

Medicare Care Compare
Listed as
Oceanside Home Health, Inc.CCN 757453 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Oct 22, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2304927Oceanside Home Health Inc7301 Topanga Canyon Blvd Suite 352, Canoga Park, CA 91303Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

7301 Topanga Canyon Blvd
Ste 352
Canoga Park, CA 91303
Phone (747) 900-6005

6815 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 386-8442

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
Marianna Braze Individual W-2 Managing EmployeeDPCS/Administrator Aug 4, 2021
Lusine Muradyan Individual 5% Or Greater Direct Ownership InterestN/a Aug 4, 2021 100%
Corporate OfficerCeo/Cfo/Secretary/Owner Aug 4, 2021 100%
Corporate DirectorCeo/Cfo/Secretary/Owner Aug 4, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1336814144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 SEPULVEDA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054402",
            "telephone_number": "818-386-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 SEPULVEDA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054402",
            "telephone_number": "818-386-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "MURADYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-386-8442",
        "authorized_official_name_prefix": "Ms."
    },
    "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.