Organization Active NPI

Fast Recovery Home Care Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1396498150
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAST RECOVERY HOME CARE INC
Practice address
13749 Victory Blvd Unit D
Van Nuys, CA 91401-2348
Phone
(818) 473-5352
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Vardui Ekimyan
Title
Ceo
Phone
(818) 473-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13749 Victory Blvd Unit D
Van Nuys, CA 91401-2348

Mailing address

13749 Victory Blvd Unit D
Van Nuys, CA 91401-2348
Phone (818) 473-5352

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230001741 CA Part A Provider - Home Health Agency 9739536335 Practice locations: Van Nuys, CA

Home health agency certification: CCN 758176

Legal name
FAST RECOVERY HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 18, 2025
Last certification
May 21, 2025
Organization structure
CorporationProprietary
Enrollment address
13749 Victory Blvd
Unit D
Van Nuys, CA 91401-2348

Care Compare: Home health agency

Medicare Care Compare
Listed as
Fast Recovery Home Care IncCCN 758176 · All quality measures
Ownership
-
Certified
Jun 18, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

13749 Victory Blvd
Unit D
Van Nuys, CA 91401
Phone (818) 473-5352

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
Armenuhi Khachatryan Individual W-2 Managing EmployeeAd; Jan 17, 2024
Vardui Ekimyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/BM/Sec Jan 17, 2022 100%
Corporate OfficerCeo/Cfo/Sec Jan 17, 2022 100%
Corporate DirectorCeo/Cfo/BM/Sec Jan 17, 2024 100%
W-2 Managing EmployeeCeo/Cfo/BM/Sec Jan 17, 2024 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": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1396498150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13749 VICTORY BLVD UNIT D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012348",
            "telephone_number": "818-473-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13749 VICTORY BLVD UNIT D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012348",
            "telephone_number": "818-473-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST RECOVERY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "EKIMYAN",
        "authorized_official_first_name": "VARDUI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-473-5352"
    },
    "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.