Organization Active NPI

Valley Hills Home Health Care, Inc

  • Home Health Agency
  • Encino, CA
National Provider Identifier
1659790939
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VALLEY HILLS HOME HEALTH CARE, INC
Practice address
17915 Ventura Blvd Ste 220
Encino, CA 91316-4810
Phone
(818) 938-9175
Fax
(818) 938-9173
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Susanna Avetisyan, RN
Title
President
Phone
(818) 938-9175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17915 Ventura Blvd Ste 220
Encino, CA 91316-4810

Mailing address

17915 Ventura Blvd Ste 220
Encino, CA 91316-4810
Phone (818) 938-9175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140619002504 CA Part A Provider - Home Health Agency 9032333737 Practice locations: Encino, CA

Home health agency certification: CCN 059741

Legal name
VALLEY HILLS HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 4, 2016
Last certification
May 9, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 11, 2014 in CA
Enrollment address
17915 Ventura Blvd
Suite 220
Encino, CA 91316-4810

Care Compare: Home health agency

Medicare Care Compare
Listed as
Valley Hills Home Health Care, IncCCN 059741 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 4, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2080837Valley Hills Home Health Care, Inc17915 Ventura Blvd Ste 220, Encino, CA 91316Certificate of waiverJul 14, 2028

National Provider Directory

National Provider Directory

Locations

17915 Ventura Blvd
Ste 220
Encino, CA 91316
Phone (818) 935-9175

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
Allan I Nutkiewicz Individual Corporate DirectorMedical Director May 1, 2014
Irina Martirosyan Individual W-2 Managing EmployeeAdministrator Jun 1, 2014
Susanna Avetisyan Individual 5% Or Greater Direct Ownership Interest Mar 15, 2014 100%
Corporate OfficerPresident/Treasurer/Ceo Mar 11, 2014 100%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1659790939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17915 VENTURA BLVD STE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164810",
            "telephone_number": "818-938-9175",
            "fax_number": "818-938-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17915 VENTURA BLVD STE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164810",
            "telephone_number": "818-938-9175",
            "fax_number": "818-938-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HILLS HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-938-9175",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.