Organization Active NPI

Divine Touch Home Health Care Inc

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1588320741
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE TOUCH HOME HEALTH CARE INC
Practice address
5311 Topanga Canyon Blvd Unit 214
Woodland Hills, CA 91364-1754
Phone
(818) 626-3335
Fax
(818) 698-1886
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Syuzanna Simonyan
Title
Ceo
Phone
(818) 626-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5311 Topanga Canyon Blvd Unit 214
Woodland Hills, CA 91364-1754

Mailing address

5311 Topanga Canyon Blvd Unit 214
Woodland Hills, CA 91364-1754
Phone (818) 626-3335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220113002701 CA Part A Provider - Home Health Agency 0446642805 Practice locations: Woodland Hills, CA

Home health agency certification: CCN 757797

Legal name
DIVINE TOUCH HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 9, 2024
Last certification
Aug 2, 2024
Organization structure
CorporationProprietary
Incorporated
Sep 28, 2021 in CA
Enrollment address
5311 Topanga Canyon Blvd
Unit 214
Woodland Hills, CA 91364-1754

Care Compare: Home health agency

Medicare Care Compare
Listed as
Divine Touch Home Health Care, Inc.CCN 757797
Ownership
-
Certified
Sep 9, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5311 Topanga Canyon Blvd
Ste 214
Woodland Hills, CA 91364
Phone (818) 626-3335

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
Syuzanna Simonyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 28, 2021 100%
Corporate OfficerCeo Sep 28, 2021 100%
Corporate DirectorCeo Sep 28, 2021 100%
W-2 Managing EmployeeCfo Sep 28, 2021 100%
Svetik S Harutyunyan Individual W-2 Managing EmployeeAd;DPCS Feb 20, 2023
Eduard Bashnakyan Individual W-2 Managing EmployeeAdministrator Designee /DPCS Design Feb 20, 2023

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1588320741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD UNIT 214",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754",
            "telephone_number": "818-626-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD UNIT 214",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754",
            "telephone_number": "818-626-3335",
            "fax_number": "818-698-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TOUCH HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "SIMONYAN",
        "authorized_official_first_name": "SYUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-626-3335"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.