Organization Active NPI

Mavianna Home Health

  • Home Health Agency
  • Valley Village, CA
National Provider Identifier
1467028316
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAVIANNA HOME HEALTH
Practice address
5301 Laurel Canyon Blvd Ste 237a
Valley Village, CA 91607-2736
Phone
(818) 658-9966
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Mariam Vardanyan
Title
Ceo
Phone
(818) 658-9966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5301 Laurel Canyon Blvd Ste 237a
Valley Village, CA 91607-2736

Mailing address

5301 Laurel Canyon Blvd Ste 237a
Valley Village, CA 91607-2736
Phone (818) 658-9966

National Provider Directory

National Provider Directory

Locations

5301 Laurel Canyon Blvd
Ste 237A
Valley Village, CA 91607
Phone (818) 626-5575

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1467028316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD STE 237A",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736",
            "telephone_number": "818-658-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD STE 237A",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736",
            "telephone_number": "818-658-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVIANNA HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-658-9966"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.