Organization Active NPI

Healthy Way Home Health

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1407461668
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHY WAY HOME HEALTH
Practice address
6320 Van Nuys Blvd Ste 207
Van Nuys, CA 91401-6610
Phone
(818) 392-6636
NPI assigned
Sep 14, 2020
Organization subpart
Yes
Parent organization
HEALTHY WAY HEALTHCARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Elen Edilyan
Title
Ceo
Phone
(818) 392-6636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6320 Van Nuys Blvd Ste 207
Van Nuys, CA 91401-6610

Mailing address

6320 Van Nuys Blvd Ste 207
Van Nuys, CA 91401-6610
Phone (818) 392-6636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118001217 CA Part A Provider - Home Health Agency 5991116246 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757026

Legal name
HEALTHY WAY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 24, 2022
Last certification
Jun 24, 2022
Organization structure
CorporationProprietary
Incorporated
Sep 8, 2020 in CA
Enrollment address
6320 Van Nuys Blvd
Ste 207
Van Nuys, CA 91401-2617

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healthy Way Home HealthCCN 757026 · All quality measures
Overall star rating
4.5 of 5
Ownership
-
Certified
Jun 24, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6741 Van Nuys Blvd
Ste 210
Van Nuys, CA 91405
Phone (818) 731-5363

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
Elen Edilyan Individual 5% Or Greater Indirect Ownership Interest Jan 11, 2023 100%
Corporate OfficerCeo/Pres/Cfo/Sec Jan 11, 2023 100%
Corporate DirectorCeo/Pres/Cfo/Sec Jan 11, 2023 100%
W-2 Managing EmployeeCeo/Pres/Cfo/Sec Jan 11, 2023 100%
Healthy Way Healthcare Inc Organization, Burbank, CA Corporation 5% Or Greater Direct Ownership Interest Aug 31, 2020 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": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1407461668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 VAN NUYS BLVD STE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016610",
            "telephone_number": "818-392-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 VAN NUYS BLVD STE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016610",
            "telephone_number": "818-392-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY WAY HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHY WAY HEALTHCARE INC.",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "EDILYAN",
        "authorized_official_first_name": "ELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-392-6636"
    },
    "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.