Organization Active NPI

Paradise Home Health of Los Angeles Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1689146433
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Dec 4, 2018 in CA
Enrollment address
5530 Corbin Ave
Ste 220
Tarzana, CA 91356-3096
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Paradise Home Health of Los Angeles, IncCCN 559681 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Dec 7, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Anahit Blikian Individual Corporate DirectorMedical Director Dec 4, 2018
W-2 Managing EmployeeMedical Director Dec 4, 2018
Knarik Aramyan Individual 5% Or Greater Direct Ownership InterestCeo Dec 4, 2018 100%
Corporate OfficerCeo Dec 4, 2018 100%
W-2 Managing EmployeeCeo 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.

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.

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

Verify at the official NPI Registry.