Healthy Smiles Home Health,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHY SMILES HOME HEALTH,INC

Practice address

14545 Victory Blvd # 608
Van Nuys, CA 91411-1620

Phone

(818) 542-7198

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Vladimir Belkin, RN

Title

Ceo

Phone

(818) 849-5842

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757619

Legal name

HEALTHY SMILES HOME HEALTH, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 28, 2024

Last certification

Mar 22, 2024

Organization structure

CorporationProprietary

Enrollment address

14545 Victory Blvd
Ste 608
Van Nuys, CA 91411

Listed as

Healthy Smiles Home Health, IncCCN 757619 · All quality measures

Ownership

-

Certified

Mar 28, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1346810025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 VICTORY BLVD # 608",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111620",
            "telephone_number": "818-542-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 VICTORY BLVD # 608",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111620",
            "telephone_number": "818-542-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES HOME HEALTH,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "BELKIN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-849-5842",
        "authorized_official_credential": "RN"
    },
    "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 Van Nuys, CA
• Providers in Van Nuys, 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 Jun 25, 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.