Active NPI
Valley Hills Home Health Care, Inc
- Home Health Agency
- Encino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 4, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2080837 | Valley Hills Home Health Care, Inc | Certificate of waiver | Jul 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Allan I Nutkiewicz | Corporate Director | May 1, 2014 | |
| Irina Martirosyan | W-2 Managing Employee | Jun 1, 2014 | |
| Susanna Avetisyan | 5% Or Greater Direct Ownership Interest | Mar 15, 2014 | 100% |
| Corporate Officer | 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.
-
- Clinical Medical Laboratory
- Burbank, CA
- NPI 1790939643
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Los Angeles, CA
- NPI 1104212083
Home health agency
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
- Valley Counseling
- Valley Dermatology and Skin Care, Inc.
- Valley Drug and Compounding
- Valley Eye Institute, Inc.
- Valley Foot and Ankle, Inc.
- Valley Home Health, Inc.
- Valley Interventional Specialty Center, Inc.
- Valley Pediatric Medical Group,Inc.
- Valley Radiology Inc
- Valley Radiotherapy Associates Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.