NPIMap

Organization Active NPI

Vast Home Health, Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1487168449
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VAST HOME HEALTH, INC
Practice address
6454 Van Nuys Blvd Ste 215
Van Nuys, CA 91401-1445
Phone
(818) 812-1177
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Khachik Vahramyan
Title
Ceo
Phone
(818) 812-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

6454 Van Nuys Blvd Ste 215
Van Nuys, CA 91401-1445

Mailing address

6454 Van Nuys Blvd Ste 215
Van Nuys, CA 91401-1445
Phone (818) 812-1177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190730001332 CA Part A Provider - Home Health Agency 0143556068 Practice locations: Burbank, CA

Home health agency certification: CCN 559036

Legal name
VAST HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 20, 2019
Last certification
Jun 20, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
1821 W Verdugo Ave
Ste 101
Burbank, CA 91506-2149

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vast Home Health, IncCCN 559036
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 20, 2019
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

1821 W Verdugo Ave
Unit 101
Burbank, CA 91506
Phone (818) 309-4441

6454 Van Nuys Blvd
Ste 216
Van Nuys, CA 91401
Phone (818) 309-4441

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel Ashikyan Individual 5% Or Greater Direct Ownership InterestCeo Jun 17, 2022 100%
Corporate OfficerCeo Jun 17, 2022 100%
Corporate DirectorCeo Jun 17, 2022 100%
W-2 Managing EmployeeCeo Jun 17, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1487168449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6454 VAN NUYS BLVD STE 215",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011445",
            "telephone_number": "818-812-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6454 VAN NUYS BLVD STE 215",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011445",
            "telephone_number": "818-812-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAST HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "VAHRAMYAN",
        "authorized_official_first_name": "KHACHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-812-1177"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.