Organization Active NPI

Meridian Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1487256145
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MERIDIAN HOME HEALTH CARE, INC.
Practice address
6356 Van Nuys Blvd Ste 211
Van Nuys, CA 91401-2741
Phone
(747) 300-7389
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Mr. Vahan Manukyan
Title
Ceo
Phone
(747) 300-7389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6356 Van Nuys Blvd Ste 211
Van Nuys, CA 91401-2741

Mailing address

6356 Van Nuys Blvd Ste 211
Van Nuys, CA 91401-2741
Phone (747) 300-7389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230424000318 CA Part A Provider - Home Health Agency 9133508872 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757587

Legal name
MERIDIAN HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 28, 2024
Last certification
Feb 28, 2024
Organization structure
CorporationProprietary
Incorporated
Aug 21, 2020 in CA
Enrollment address
6356 Van Nuys Blvd
Ste 211
Van Nuys, CA 91401-2741

Care Compare: Home health agency

Medicare Care Compare
Listed as
Meridian Home Health Care Inc.CCN 757587
Ownership
-
Certified
Feb 28, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

17835 Ventura Blvd
Ste 303
Encino, CA 91316
Phone (800) 501-2594

6356 Van Nuys Blvd
Ste 211
Van Nuys, CA 91401
Phone (747) 264-1322

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
Vahan Manukyan Individual 5% Or Greater Indirect Ownership InterestCeo Dec 1, 2022 100%
Corporate OfficerCeo Dec 1, 2022 100%
Corporate DirectorCeo Dec 1, 2022 100%
W-2 Managing EmployeeCeo Dec 1, 2022 100%
Marvel Healthcare Holdings, Inc Organization, Van Nuys, CA Created for acquisition, Holding company 5% Or Greater Direct Ownership Interest Nov 7, 2022 100%
Operational/Managerial Control Nov 7, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1487256145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6356 VAN NUYS BLVD STE 211",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012741",
            "telephone_number": "747-300-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6356 VAN NUYS BLVD STE 211",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012741",
            "telephone_number": "747-300-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-300-7389",
        "authorized_official_name_prefix": "Mr."
    },
    "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.