Organization Active NPI

Peaceful Harbors Home Health, Inc.

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1447903091
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACEFUL HARBORS HOME HEALTH, INC.
Practice address
5311 Topanga Canyon Blvd Ste 209
Woodland Hills, CA 91364-1754
Phone
(747) 336-9648
NPI assigned
Feb 2, 2022
Organization subpart
Yes
Parent organization
KVS INVESTMENTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Mr. Karen Vardanyan
Title
Ceo
Phone
(747) 336-9648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5311 Topanga Canyon Blvd Ste 209
Woodland Hills, CA 91364-1754

Mailing address

5311 Topanga Canyon Blvd Ste 209
Woodland Hills, CA 91364-1754
Phone (747) 336-9648

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231031000861 CA Part A Provider - Home Health Agency 9335595107 Practice locations: Woodland Hills, CA

Home health agency certification: CCN 758107

Legal name
PEACEFUL HARBORS HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 3, 2025
Last certification
Aug 15, 2025
Organization structure
CorporationProprietary
Incorporated
Jan 5, 2022 in CA
Enrollment address
5311 Topanga Canyon Blvd
Ste 209
Woodland Hills, CA 91364-1740

Care Compare: Home health agency

Medicare Care Compare
Listed as
Peaceful Harbors Home Health, Inc.CCN 758107
Ownership
-
Certified
Sep 3, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5311 Topanga Canyon Blvd
Ste 209
Woodland Hills, CA 91364
Phone (747) 336-9648

Ownership & related parties

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.

NameRoleSinceShare
KVS Investments, Inc Organization, Woodland Hills, CA Corporation 5% Or Greater Direct Ownership Interest Jan 5, 2022 100%
Karen Vardanyan Individual 5% Or Greater Indirect Ownership Interest Jan 5, 2022 100%
Corporate OfficerCeo/President/Cfo/Secretary Jan 5, 2022 100%
Corporate DirectorCeo/President/Cfo/Secretary Jan 5, 2022 100%
W-2 Managing EmployeeCeo/President/Cfo/Secretary Jan 5, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1447903091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754",
            "telephone_number": "747-336-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754",
            "telephone_number": "747-336-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HARBORS HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KVS INVESTMENTS, INC.",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-336-9648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.