Wish U Well Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WISH U WELL HOME HEALTHCARE

Practice address

6501 Foothill Blvd # A202
Tujunga, CA 91042-2765

Phone

(818) 293-3012

Fax

(818) 760-7359

NPI assigned

Aug 12, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Hovhannes Vardanyan

Title

Ceo

Phone

(818) 293-3012

Specialties & licenses 1

Addresses

Other names 1

• WISH U WELL HHC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 553156

Legal name

WISH U WELL HOME HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 7, 2018

Last certification

Dec 7, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 11, 2016 in CA

Enrollment address

6501 Foothill Blvd
Ste 202a
Tujunga, CA 91042-2790

Listed as

Wish U Well Home HealthcareCCN 553156

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Dec 7, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mahmoud Qasem Moammar, MD

  • Pulmonary Disease Physician
  • Orange, CA
  • NPI 1952500696

  Home health agency

  Care Compare affiliation
• Rashita Aggarwal, M.D.

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1043522790

  Home health agency

  Care Compare affiliation
• Mark Thomas Bernardi, M.D.

  • Emergency Medicine Physician
  • Nellis Afb, NV
  • NPI 1073900536

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1346794872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 FOOTHILL BLVD # A202",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422765",
            "telephone_number": "818-293-3012",
            "fax_number": "818-760-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 FOOTHILL BLVD # A202",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422765",
            "telephone_number": "818-293-3012",
            "fax_number": "818-760-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISH U WELL HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "HOVHANNES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-293-3012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WISH U WELL HHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Stanley Weinstein, DPM
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• Katherine Rose Young
• Your Choice Medical Equipment, Inc
• Emilia Zadoorian, PHARMD

• Home Health Agency in Tujunga, CA
• Providers in Tujunga, 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 May 12, 2022; 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.