Active NPI
West Valley Home Health Care, Inc
- Home Health Agency
- Encino, CA
National Provider Identifier
1518376409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Jul 10, 2014 in CA
- Enrollment address
- 17915 Ventura Blvd
Ste 200
Encino, CA 91316-4800
Care Compare: Home health agency
Medicare Care Compare- Listed as
- West Valley Home Health Care, Inc
- Ownership
- Proprietary
- Certified
- Dec 27, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2089355 | West Valley Home Health Care Inc | Certificate of waiver | Dec 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Hayk Martirosyan | 5% Or Greater Direct Ownership Interest | Jul 10, 2014 | 100% |
| Corporate Officer | Jul 10, 2014 | 100% | |
| Allan I Nutkiewicz | Corporate Director | Sep 1, 2014 | |
| Irina Martirosyan | W-2 Managing Employee | 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
- West Coast Spine Institute Apc
- West la Medical Group
- West Medical Center Inc
- West Val Pharmacy Inc
- West Valley Endodontic Dental Group
- Western Fertility Institute, LLC
- Western Pacific Psychological Network, Inc.
- Eva Maria Westholm, LCSW
- Cynthia D Weston, LMFT
- Westwood Pharmacy Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.