Organization Active NPI

Hye Nurses Home Health Inc.

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1467400234
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980002307 Issued in CA
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

Updated by the provider on Sep 15, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA08163FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 058163 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Feb 13, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Vardui Arutyunyan Individual Contracted Managing EmployeeMedical Director Jun 18, 2011
Janet Moshedian Individual 5% Or Greater Direct Ownership Interest May 1, 2015 100%
Corporate OfficerPresident,Ceo,Cfo,Administrator, May 1, 2015 100%
Corporate DirectorPresident, Ceo, Cfo, Administrat May 1, 2015 100%
W-2 Managing EmployeePresident, Ceo, Cfo, Administrat May 1, 2015 100%
Kristina Movsesian Individual W-2 Managing EmployeeDirector of Nursing 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.

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

Verify at the official NPI Registry.