St.Michael Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST.MICHAEL HOME HEALTH CARE INC.

Practice address

13609 Victory Blvd # 212
Van Nuys, CA 91401-1736

Phone

(818) 970-8384

Fax

(818) 646-1023

NPI assigned

May 18, 2017

Organization subpart

No

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

Authorized official

Name

Mr. John Boyajian

Title

Ceo

Phone

(818) 970-8384

Specialties & licenses 1

Addresses

Listed as

St Michael Home Health Care, IncCCN 553138

Ownership

Proprietary

Certified

Oct 30, 2018

Medicare certification status

Terminated Voluntary: merger or closure, Jan 25, 2026From the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1710414925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD # 212",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011736",
            "telephone_number": "818-970-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD # 212",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011736",
            "telephone_number": "818-970-8384",
            "fax_number": "818-646-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.MICHAEL HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "BOYAJIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-970-8384",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.