Avenue Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVENUE HOME HEALTH, INC

Practice address

14402 Haynes St Ste 203
Van Nuys, CA 91401-1482

Phone

(818) 858-0976

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Gilbert Ter-Hovhannisyan

Title

Ceo

Phone

(818) 858-0976

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 753184

Legal name

AVENUE HOME HEALTH, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 13, 2022

Last certification

Sep 13, 2022

Organization structure

CorporationProprietary

Incorporated

May 7, 2021 in CA

Enrollment address

14402 Haynes St
Ste 203
Van Nuys, CA 91401-1482

Listed as

Avenue Home Health, Inc.CCN 753184 · All quality measures

Overall star rating

4.5 of 5

Ownership

-

Certified

Sep 13, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1619544640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14402 HAYNES ST STE 203",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011482",
            "telephone_number": "818-858-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14402 HAYNES ST STE 203",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011482",
            "telephone_number": "818-858-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "TER-HOVHANNISYAN",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-858-0976"
    },
    "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 Feb 13, 2024; 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.