Organization Active NPI

Gamma Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1699324392
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GAMMA HOME HEALTH, INC.
Practice address
14640 Victory Blvd Ste 212
Van Nuys, CA 91411-1623
Phone
(747) 248-0090
NPI assigned
Sep 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Larisa Durgaryan
Title
Ceo
Phone
(747) 248-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14640 Victory Blvd Ste 212
Van Nuys, CA 91411-1623

Mailing address

14640 Victory Blvd Ste 212
Van Nuys, CA 91411-1623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615001363 CA Part A Provider - Home Health Agency 6608298906 Practice locations: Burbank, CA

Home health agency certification: CCN 559479

Legal name
GAMMA HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 22, 2021
Last certification
Jan 22, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 22, 2019 in CA
Enrollment address
7590 N Glenoaks Blvd
Ste 12
Burbank, CA 91504-1003

Care Compare: Home health agency

Medicare Care Compare
Listed as
Gamma Home Health, IncCCN 559479 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 22, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

7590 N Glenoaks Blvd
Ste 12
Burbank, CA 91504
Phone (747) 699-8665

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
Gamma Health Organization, Van Nuys, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Apr 22, 2019 100%
Larisa Durgaryan Individual 5% Or Greater Indirect Ownership Interest Apr 22, 2019 100%
Corporate OfficerCeo/Cfo/Secretary Apr 22, 2019 100%
Corporate DirectorCeo/Cfo/Secretary Apr 22, 2019 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Apr 22, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1699324392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD STE 212",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD STE 212",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "747-248-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMMA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "DURGARYAN",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-248-0090"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.