Lake Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAKE HOME HEALTH

Practice address

6360 Van Nuys Blvd Ste 167
Van Nuys, CA 91401-6657

Phone

(747) 264-0421

Fax

(747) 264-0422

NPI assigned

Feb 9, 2022

Organization subpart

No

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

Authorized official

Name

Naira Dadyan

Title

Owner

Phone

(747) 264-0421

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1659025575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 VAN NUYS BLVD STE 167",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016657",
            "telephone_number": "747-264-0421",
            "fax_number": "747-264-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 VAN NUYS BLVD STE 167",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016657",
            "telephone_number": "747-264-0421",
            "fax_number": "747-264-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "DADYAN",
        "authorized_official_first_name": "NAIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-264-0421"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BUSINSSEMAILADDRESS",
            "affiliation": "N",
            "endpointDescription": "lakehomehealthinc@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lakehomehealthinc@gmail.com",
            "address_1": "6360 Van Nuys Blvd Ste 167",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914016657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Lai
• Cindy Melissa Lainez Flores
• Itzayana Lainez-Rojas
• Lake Balboa Elderly Living Care Inc
• Lake Balboa Health Care, Inc.
• Lakeside Medical Associates, a Medical Group, Inc.
• Lauren Lalisan, NP
• Wendy Karina Lamas
• Elana Lamb, PEER ADVOCATE INTERN
• Adrianne Lache Lambert

• 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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.