Vivanti Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VIVANTI HOME HEALTH INC.

Practice address

1619 W Garvey Ave N Ste 104a
West Covina, CA 91790-2146

Phone

(626) 900-7315

Fax

(626) 900-7316

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Mari Pogosian

Title

Ceo

Phone

(626) 900-7315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757489

Legal name

VIVANTI HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 19, 2023

Last certification

Dec 19, 2023

Organization structure

CorporationProprietary

Incorporated

Jul 27, 2021 in CA

Enrollment address

1619 W Garvey Ave N
Ste 104a
West Covina, CA 91790-2146
HHA Branch

Listed as

Vivanti Home Health Inc.CCN 757489 · All quality measures

Ownership

-

Certified

Dec 19, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1487326021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 W GARVEY AVE N STE 104A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902146",
            "telephone_number": "626-900-7315",
            "fax_number": "626-900-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 W GARVEY AVE N STE 104A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902146",
            "telephone_number": "626-900-7315",
            "fax_number": "626-900-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVANTI HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "POGOSIAN",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-900-7315"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virgo Home Health Inc.
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• Enrique Vitug, NP
• Vituity-Surgery PC
• Vivanti Wound Specialists LLC
• Vivara Home Health Agency, Inc.
• Sagar Dilipkumar Viz, SPEECH LANGUAGE PATH
• Hermosa Vizcarra
• Karina Vizcarra

• Home Health Agency in West Covina, CA
• Providers in West Covina, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.

Verify at the official NPI Registry.