Organization Active NPI

West Valley Home Health Care, Inc

  • Home Health Agency
  • Encino, CA
National Provider Identifier
1518376409
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WEST VALLEY HOME HEALTH CARE, INC
Practice address
17915 Ventura Blvd., Suite 200
Encino, CA 91316-4810
Phone
(818) 634-4295
Fax
(818) 616-9198
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Hayk Martirosyan
Title
President
Phone
(818) 634-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17915 Ventura Blvd., Suite 200
Encino, CA 91316-4810

Mailing address

17915 Ventura Blvd., Suite 200
Encino, CA 91316-4810
Phone (818) 634-4295

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021001834 CA Part A Provider - Home Health Agency 4082835830 Practice locations: Encino, CA

Home health agency certification: CCN 053102

Legal name
WEST VALLEY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 27, 2016
Last certification
Aug 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 10, 2014 in CA
Enrollment address
17915 Ventura Blvd
Ste 200
Encino, CA 91316-4800
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
West Valley Home Health Care, IncCCN 053102 · All quality measures
Ownership
Proprietary
Certified
Dec 27, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2089355West Valley Home Health Care Inc17915 Ventura Blvd Ste 200, Encino, CA 91316Certificate of waiverDec 28, 2026

National Provider Directory

National Provider Directory

Locations

17915 Ventura Blvd
Ste 200
Encino, CA 91316
Phone (818) 344-9844

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
Hayk Martirosyan Individual 5% Or Greater Direct Ownership Interest Jul 10, 2014 100%
Corporate OfficerPresident / Owner Jul 10, 2014 100%
Allan I Nutkiewicz Individual Corporate DirectorMedical Director Sep 1, 2014
Irina Martirosyan Individual W-2 Managing EmployeeAdministrator Sep 1, 2014

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1518376409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17915 VENTURA BLVD., SUITE 200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164810",
            "telephone_number": "818-634-4295",
            "fax_number": "818-616-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17915 VENTURA BLVD., SUITE 200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164810",
            "telephone_number": "818-634-4295",
            "fax_number": "818-616-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "MARTIROSYAN",
        "authorized_official_first_name": "HAYK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-634-4295"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.