Organization Active NPI

Pax Home Health

  • Home Health Agency
  • Sunland, CA
National Provider Identifier
1417464389
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PAX HOME HEALTH
Practice address
9741 Wheatland Ave Ste 3
Sunland, CA 91040-1403
Phone
(818) 518-1001
NPI assigned
Jan 2, 2018
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Lala Bayanduryan
Title
Cfo/Secretary
Phone
(818) 518-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

9741 Wheatland Ave Ste 3
Sunland, CA 91040-1403

Mailing address

9741 Wheatland Ave Ste 3
Sunland, CA 91040-1403

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pax Home HealthCCN 559084
Ownership
Proprietary
Certified
Oct 11, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2326312Pax Home Health Inc9741 Wheatland Avenue, Suite 3, Sunland, CA 91040Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

9741 Wheatland Ave
Ste 3
Sunland, CA 91040
Phone (818) 518-1001

6360 Van Nuys Blvd
Ste 109
Van Nuys, CA 91401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1417464389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9741 WHEATLAND AVE STE 3",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9741 WHEATLAND AVE STE 3",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401403",
            "telephone_number": "818-518-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "BAYANDURYAN",
        "authorized_official_first_name": "LALA",
        "authorized_official_title_or_position": "CFO/SECRETARY",
        "authorized_official_telephone_number": "818-518-1001"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.