Avon Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVON HOME HEALTH CARE

Practice address

14328 Victory Blvd Ste 207
Van Nuys, CA 91401-6512

Phone

(818) 600-5917

Fax

(818) 600-4785

NPI assigned

Jan 8, 2019

Organization subpart

No

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

Authorized official

Name

Asadour Ponchukyan

Title

Ceo

Phone

(818) 626-5917

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559477

Legal name

AVON HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 28, 2021

Last certification

Jun 28, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 21, 2018 in CA

Enrollment address

14328 Victory Blvd
Ste 207
Van Nuys, CA 91401-6512

Listed as

Avon Home Health CareCCN 559477 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Jun 28, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1528531993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14328 VICTORY BLVD STE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016512",
            "telephone_number": "818-600-5917",
            "fax_number": "818-600-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14328 VICTORY BLVD STE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016512",
            "telephone_number": "818-600-5917",
            "fax_number": "818-600-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "PONCHUKYAN",
        "authorized_official_first_name": "ASADOUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-626-5917"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Jan 8, 2019; 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.