NPIMap

Organization Active NPI

Wish Home Health Care, Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1659844439
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WISH HOME HEALTH CARE, INC
Practice address
6422 Van Nuys Blvd Ste 102
Van Nuys, CA 91401-1436
Phone
(818) 616-2022
NPI assigned
Jan 4, 2019
Last updated
Apr 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Ruzan Aghalyan
Title
Ceo
Phone
(818) 616-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6422 Van Nuys Blvd Ste 102
Van Nuys, CA 91401-1436

Mailing address

500 E Olive Ave Ste 670
Burbank, CA 91501-2197
Phone (818) 616-2022

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200826000846 CA Part A Provider - Home Health Agency 5496172165 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659844439. Details of each certification follow.

Home health agency certification: CCN 559410

Legal name
WISH HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 16, 2020
Last certification
Dec 16, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 20, 2018 in CA
Enrollment address
500 E Olive Ave
Ste 670
Burbank, CA 91501-2197

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wish Home Health Care IncCCN 559410 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 16, 2020
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
05D2267101Wish Home Health Care Inc500 E Olive Ave Ste 670, Burbank, CA 91501Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory

Locations

500 E Olive Ave
Ste 670
Burbank, CA 91501
Phone (818) 616-2022

Ownership & related parties

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.

NameRoleSinceShare
Aikaz Babaian Individual 5% Or Greater Direct Ownership InterestCeo Jan 20, 2024 100%
Corporate OfficerCeo Jan 20, 2024
Corporate DirectorCeo Jan 20, 2024
W-2 Managing Employee Jan 20, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1659844439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE STE 670",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012197",
            "telephone_number": "818-616-2022",
            "fax_number": "818-616-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 VAN NUYS BLVD STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011436",
            "telephone_number": "818-616-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISH HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "AGHALYAN",
        "authorized_official_first_name": "RUZAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-616-2022"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.