Organization Active NPI

Med Valley Homehealth Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1407510514
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MED VALLEY HOMEHEALTH INC
Practice address
7311 Van Nuys Blvd Unit 20
Van Nuys, CA 91405-1999
Phone
(818) 431-4345
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Amir Khamatkhanov
Title
Office MNGR
Phone
(818) 431-4345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7311 Van Nuys Blvd Unit 20
Van Nuys, CA 91405-1999

Mailing address

7311 Van Nuys Blvd Unit 20
Van Nuys, CA 91405-1999
Phone (818) 431-4345

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1407510514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 VAN NUYS BLVD UNIT 20",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051999",
            "telephone_number": "818-431-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 VAN NUYS BLVD UNIT 20",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051999",
            "telephone_number": "818-431-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED VALLEY HOMEHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "KHAMATKHANOV",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OFFICE MNGR",
        "authorized_official_telephone_number": "818-431-4345"
    },
    "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 Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.