Organization Active NPI

Vita Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1457012098
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VITA HOME HEALTH INC
Practice address
14545 Friar St Ste 333
Van Nuys, CA 91411-2397
Phone
(818) 641-9914
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Maria Shahbazyan
Title
Ceo
Phone
(818) 641-9914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 333
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 333
Van Nuys, CA 91411-2397
Phone (818) 641-9914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240926002569 CA Part A Provider - Home Health Agency 8426408402 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757978

Legal name
VITA HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 12, 2025
Last certification
Mar 31, 2025
Organization structure
CorporationProprietary
Incorporated
in CA
Enrollment address
14545 Friar St
Ste 333
Van Nuys, CA 91411-2397

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vita Home Health IncCCN 757978 · All quality measures
Ownership
-
Certified
Mar 12, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 333
Van Nuys, CA 91411
Phone (818) 641-9914

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
Jacqueline Alegado Individual W-2 Managing EmployeeDPCS/Admin Oct 26, 2024
Maria Shahbazyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Brdmeb/Secr Mar 25, 2024 100%
Corporate OfficerCeo/Cfo/Brdmeb/Secr Mar 25, 2024 100%
Corporate DirectorCeo/Cfo/Brdmeb/Secr Mar 25, 2024 100%
W-2 Managing EmployeeCeo/Cfo/Brdmeb/Secr Mar 25, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1457012098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 333",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-641-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 333",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-641-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZYAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-641-9914"
    },
    "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

Verify at the official NPI Registry.