Active NPI
Paradise Home Health of Los Angeles Inc
- Home Health Agency
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PARADISE HOME HEALTH OF LOS ANGELES INC
- Practice address
- 13615 Victory Blvd Ste 110
Van Nuys, CA 91401-1769 - Phone
- (747) 208-4711
- Fax
- (818) 736-4524
- NPI assigned
- Dec 18, 2018
- Last updated
- Dec 18, 2018
- 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
- Knarik Aramyan
- Title
- Xeo
- Phone
- (747) 208-4711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
13615 Victory Blvd Ste 110
Van Nuys, CA 91401-1769
Mailing address
13615 Victory Blvd Ste 110
Van Nuys, CA 91401-1769
Phone (747) 208-4711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190117001410 | CA | Part A Provider - Home Health Agency | 8628314317 | Practice locations: Tarzana, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689146433. Details of each certification follow.
Home health agency certification: CCN 559681
- Legal name
- PARADISE HOME HEALTH OF LOS ANGELES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 7, 2021
- Last certification
- Dec 7, 2021
- Organization structure
- Corporation
- Incorporated
- Dec 4, 2018 in CA
- Enrollment address
- 5530 Corbin Ave
Ste 220
Tarzana, CA 91356-3096
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Paradise Home Health of Los Angeles, Inc
- Overall star rating
- Ownership
- -
- Certified
- Dec 7, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
5530 Corbin Ave
Ste 220
Tarzana, CA 91356
Phone (747) 208-4711
13615 Victory Blvd
Ste 110
Van Nuys, CA 91401
Phone (747) 208-4711
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Anahit Blikian | Corporate Director | Dec 4, 2018 | |
| W-2 Managing Employee | Dec 4, 2018 | ||
| Knarik Aramyan | 5% Or Greater Direct Ownership Interest | Dec 4, 2018 | 100% |
| Corporate Officer | Dec 4, 2018 | 100% | |
| W-2 Managing Employee | Dec 4, 2018 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Adolescent Medicine (Family Medicine) Physician
- Glendale, CA
- NPI 1376596403
Corporate Director, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adolescent Medicine (Family Medicine) Physician
- Glendale, CA
- NPI 1376596403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545091200000",
"number": "1689146433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13615 VICTORY BLVD STE 110",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011769",
"telephone_number": "747-208-4711",
"fax_number": "818-736-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13615 VICTORY BLVD STE 110",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011769",
"telephone_number": "747-208-4711",
"fax_number": "818-736-4524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE HOME HEALTH OF LOS ANGELES INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A",
"authorized_official_last_name": "ARAMYAN",
"authorized_official_first_name": "KNARIK",
"authorized_official_title_or_position": "XEO",
"authorized_official_telephone_number": "747-208-4711"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.