Active NPI
Hye Nurses Home Health Inc.
- Home Health Agency
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980002307
- Legal business name
- HYE NURSES HOME HEALTH INC.
- Practice address
- 12011 Victory Blvd
Suite 202
North Hollywood, CA 91606-3330 - Phone
- (818) 509-1892
- Fax
- (818) 509-1893
- NPI assigned
- May 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rima Avetisyan, RN
- Title
- Administrator/DPCS
- Phone
- (818) 509-1892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980002307 | CA | Primary |
Addresses
Primary practice location
12011 Victory Blvd
Suite 202
North Hollywood, CA 91606-3330
Mailing address
12011 Victory Blvd
Suite 202
North Hollywood, CA 91606-3330
Phone (818) 509-1892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08163F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050323000534 | CA | Part A Provider - Home Health Agency | 8820044845 | Practice locations: North Hollywood, CA |
Home health agency certification: CCN 058163
- Legal name
- HYE NURSES HOME HEALTH INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 13, 2003
- Last certification
- Feb 13, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 16, 2002 in CA
- Enrollment address
- 12011 Victory Blvd
Suite 202
North Hollywood, CA 91606-3330
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Hye Nurses Home Health Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 13, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
12011 Victory Blvd
Ste 202
North Hollywood, CA 91606
Phone (818) 509-1892
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Vardui Arutyunyan | Contracted Managing Employee | Jun 18, 2011 | |
| Janet Moshedian | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 100% |
| Corporate Officer | May 1, 2015 | 100% | |
| Corporate Director | May 1, 2015 | 100% | |
| W-2 Managing Employee | May 1, 2015 | 100% | |
| Kristina Movsesian | W-2 Managing Employee | Jul 1, 2015 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1841235223
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1467400234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12011 VICTORY BLVD",
"address_2": "SUITE 202",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063330",
"telephone_number": "818-509-1892",
"fax_number": "818-509-1893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12011 VICTORY BLVD",
"address_2": "SUITE 202",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063330",
"telephone_number": "818-509-1892",
"fax_number": "818-509-1893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYE NURSES HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "AVETISYAN",
"authorized_official_first_name": "RIMA",
"authorized_official_title_or_position": "ADMINISTRATOR/DPCS",
"authorized_official_telephone_number": "818-509-1892",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980002307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08163F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.