Active NPI
Holy Care Home Health and Palliative Care
- Home Health Agency
- Van Nuys, CA
National Provider Identifier
1396285151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOLY CARE HOME HEALTH AND PALLIATIVE CARE
- Practice address
- 7017 Van Nuys Blvd
Suite 4
Van Nuys, CA 91405-3095 - Phone
- (213) 261-9595
- NPI assigned
- Feb 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Chilingirian
- Title
- Ceo
- Phone
- (213) 261-9595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
7017 Van Nuys Blvd
Suite 4
Van Nuys, CA 91405-3095
Mailing address
13758 Victory Blvd
Suite 200
Van Nuys, CA 91401-2319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190523000160 | CA | Part A Provider - Home Health Agency | 4486997087 | Practice locations: Van Nuys, CA |
Home health agency certification: CCN 559271
- Legal name
- HOLY CARE HOME HEALTH AND PALLIATIVE CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 8, 2020
- Last certification
- Mar 8, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 31, 2016 in CA
- Enrollment address
- 13758 Victory Blvd
Ste 210
Van Nuys, CA 91401-2359
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Holy Care Home Health & Palliative Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 8, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Holy Care Home Health and Pallative Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Van Nuys, CA
- NPI 1801245667
Locations
13758 Victory Blvd
Ste 210
Van Nuys, CA 91401
Phone (818) 786-1600
7017 Van Nuys Blvd
Ste 4
Van Nuys, CA 91405
Phone (747) 307-3197
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jo Anna Gregorio | Corporate Director | Feb 27, 2017 | |
| Victoria Gezalyan | 5% Or Greater Direct Ownership Interest | May 31, 2016 | 50% |
| Corporate Officer | May 31, 2016 | 50% | |
| Corporate Director | May 31, 2016 | 50% | |
| Kristine Chilingirian | 5% Or Greater Direct Ownership Interest | May 31, 2016 | 50% |
| Corporate Officer | May 31, 2016 | 50% | |
| Corporate Director | May 31, 2016 | 50% | |
| W-2 Managing Employee | May 31, 2016 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1396285151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13758 VICTORY BLVD",
"address_2": "SUITE 200",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914012319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7017 VAN NUYS BLVD",
"address_2": "SUITE 4",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053095",
"telephone_number": "213-261-9595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLY CARE HOME HEALTH AND PALLIATIVE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "CHILINGIRIAN",
"authorized_official_first_name": "KRISTINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-261-9595"
},
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.