Wholesome Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WHOLESOME HOME HEALTH, INC.

Practice address

14531 Hamlin St Ste 180
Van Nuys, CA 91411-1627

Phone

(747) 262-3980

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Yevgeniya Andreasyan

Title

Ceo

Phone

(747) 262-3980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757749

Legal name

WHOLESOME HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 11, 2024

Last certification

Oct 10, 2024

Organization structure

CorporationProprietary

Incorporated

Dec 1, 2021 in CA

Enrollment address

14531 Hamlin St
Ste 180
Van Nuys, CA 91411-1627

Listed as

Wholesome Home Health, Inc.CCN 757749

Overall star rating

2.5 of 5

Ownership

-

Certified

Oct 11, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 1

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

• Jack Shenouda, M.D.

  • Hospitalist Physician
  • Oxnard, CA
  • NPI 1023247822

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1407507015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14531 HAMLIN ST STE 180",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14531 HAMLIN ST STE 180",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111627",
            "telephone_number": "747-262-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "ANDREASYAN",
        "authorized_official_first_name": "YEVGENIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-262-3980"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Whitesinger
• Angela Whitfield
• Chloe Danielle Whittaker
• Candace Whittle
• Wholesome Community Members Club Inc
• Francesca Wieden
• Laureen Anne Wierenga, CAADE
• Joellen Wiggington, PH.D.
• Mary Jane Wightman
• Dana Wilburn

• 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 Jan 14, 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.