Idyllic Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IDYLLIC HOME HEALTH SERVICES

Practice address

2220 W Burbank Blvd Ste 101
Burbank, CA 91506-1234

Phone

(800) 570-9863

NPI assigned

Jan 11, 2022

Last updated

Jan 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana AkhverdyanNPI 1669178661

Title

Ceo

Phone

(800) 570-9863

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417608449. Details of each certification follow.

• CCN 757671 Home health agency · Active · Details

Home health agency certification: CCN 757671

Legal name

IDYLLIC HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 20, 2024

Last certification

May 9, 2024

Organization structure

CorporationProprietary

Enrollment address

2220 W Burbank Blvd
Ste 101
Burbank, CA 91506-1234

Listed as

Idyllic Home Health ServicesCCN 757671 · All quality measures

Ownership

-

Certified

May 20, 2024

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Diana Akhverdyan, AGNP

  • Adult Health Nurse Practitioner
  • Van Nuys, CA
  • NPI 1669178661

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Diana Akhverdyan, AGNP

  • Adult Health Nurse Practitioner
  • Van Nuys, CA
  • NPI 1669178661
  NPD Authorized official

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1417608449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W BURBANK BLVD STE 101",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061234",
            "telephone_number": "800-570-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W BURBANK BLVD STE 101",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061234",
            "telephone_number": "800-570-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDYLLIC HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "AKHVERDYAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-570-9863"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Ice, M.A., LMFT
• Judy Lynn Ichiuji, O.D.
• Icon Health Solutions LLC (Icon Health Solutions)
• Ideal Home Health Care, Inc
• Idyllic Healthcare Services
• Ani Ifiktchyan, LCSW
• Ann T Igawa, N.P.
• Lindsay Nicole Ignatczyk, P.A.
• Ernestine Ihekire, NP
• David A Iler Jr., LMT

• Home Health Agency in Burbank, CA
• Providers in Burbank, 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 11, 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.