Organization Active NPI

Nova Vita Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1578054433
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NOVA VITA HOME HEALTH INC
Practice address
13746 Victory Blvd Ste 105
Van Nuys, CA 91401-6717
Phone
(818) 290-3808
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Hayk Sahakyan
Title
Ceo
Phone
(818) 290-3808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13746 Victory Blvd Ste 105
Van Nuys, CA 91401-6717

Mailing address

13746 Victory Blvd Ste 105
Van Nuys, CA 91401-6717

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nova Vita Home Health, IncCCN 559177
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 17, 2019
Medicare certification status
Terminated Voluntary: merger or closure, Apr 20, 2026From the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
05D2289270Nova Vita Home Health Inc13746 Victory Blvd Suite 105, Van Nuys, CA 91401Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory

Locations

13746 Victory Blvd
Ste 105
Van Nuys, CA 91401
Phone (818) 290-3808

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": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1578054433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016717",
            "telephone_number": "818-290-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA VITA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "SAHAKYAN",
        "authorized_official_first_name": "HAYK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-290-3808"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.