NPIMap

Organization Active NPI

East Coast Valley Home Health Inc

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1437913134
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EAST COAST VALLEY HOME HEALTH INC
Practice address
11350 Random Hills Rd Ste 827
Fairfax, VA 22030-6044
Phone
(703) 977-9007
Fax
(703) 977-9006
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Lena Movsisyan, RN
Title
Authorized Official
Phone
(703) 977-9007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11350 Random Hills Rd Ste 827
Fairfax, VA 22030-6044

Mailing address

3575 Cahuenga Blvd W Ste 670
Los Angeles, CA 90068-1366
Phone (703) 977-9007

Other names 1

  • East Coast Valley Home Health INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240923001389 VA Part A Provider - Home Health Agency 2365983996 Practice locations: Fairfax, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437913134. Details of each certification follow.

Home health agency certification: CCN 497817

Legal name
EAST COAST VALLEY HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 27, 2025
Last certification
Jan 16, 2025
Organization structure
CorporationProprietary
Incorporated
Feb 7, 2024 in VA
Enrollment address
11350 Random Hills Rd
Ste 800
Fairfax, VA 22030-6044

Care Compare: Home health agency

Medicare Care Compare
Listed as
East Coast Valley Home Health, Inc.CCN 497817 · All quality measures
Ownership
-
Certified
Jan 27, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4262 Entre Ct
Unit J1
Chantilly, VA 20151

11350 Random Hills Rd
Ste 827
Fairfax, VA 22030
Phone (703) 977-9007

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Liana E Matevosian Individual 5% Or Greater Direct Ownership Interest Feb 7, 2024 33%
W-2 Managing EmployeeAd; Feb 7, 2024 33%
Arsen Kazaryan Individual 5% Or Greater Direct Ownership Interest Feb 7, 2024 34%
Corporate Officer Feb 7, 2024 34%
Lena Movsisyan Individual 5% Or Greater Direct Ownership Interest Feb 7, 2024 33%
Corporate Officer Feb 7, 2024 33%

Owners & managing parties with NPI records 1

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

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.

Affiliated clinicians 4

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": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1437913134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 CAHUENGA BLVD W STE 670",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681366",
            "telephone_number": "703-977-9007",
            "fax_number": "703-977-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 827",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306044",
            "telephone_number": "703-977-9007",
            "fax_number": "703-977-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST VALLEY HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-06-17",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "MOVSISYAN",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "703-977-9007",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Coast Valley Home Health INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "East Coast Valley Home Health INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.