Organization Active NPI

Creed Home Health Care Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1700549482
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CREED HOME HEALTH CARE INC
Practice address
6742 Van Nuys Blvd Ste 111
Van Nuys, CA 91405-4611
Phone
(818) 817-6001
Fax
(818) 817-6011
NPI assigned
Oct 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Karen Shirinyan
Title
Ceo
Phone
(818) 817-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6742 Van Nuys Blvd Ste 111
Van Nuys, CA 91405-4611

Mailing address

6742 Van Nuys Blvd Ste 111
Van Nuys, CA 91405-4611
Phone (818) 817-6001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230606002377 CA Part A Provider - Home Health Agency 8426415472 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757550

Legal name
CREED HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 27, 2024
Last certification
Feb 27, 2024
Organization structure
CorporationProprietary
Enrollment address
6742 Van Nuys Blvd
Ste 111
Van Nuys, CA 91405-4611

Care Compare: Home health agency

Medicare Care Compare
Listed as
Creed Home Health Care, Inc.CCN 757550
Ownership
-
Certified
Feb 27, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6742 Van Nuys Blvd
Ste 111
Van Nuys, CA 91405
Phone (818) 817-6001

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
Karen Shirinyan Individual 5% Or Greater Direct Ownership InterestCeo Aug 13, 2021 100%
Corporate OfficerCeo Aug 13, 2021 100%
Corporate DirectorCeo Aug 13, 2021 100%
W-2 Managing EmployeeCeo Aug 13, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1700549482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD STE 111",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054611",
            "telephone_number": "818-817-6001",
            "fax_number": "818-817-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD STE 111",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054611",
            "telephone_number": "818-817-6001",
            "fax_number": "818-817-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREED HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "SHIRINYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-817-6001"
    },
    "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.