Organization Active NPI

Wisdom Home Health Inc

  • Home Health Agency
  • Chatsworth, CA
National Provider Identifier
1710510375
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WISDOM HOME HEALTH INC
Practice address
21032 Devonshire St Ste 212
Chatsworth, CA 91311-2368
Phone
(818) 280-3617
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Authorized official

Name
Samuel Adamyan
Title
Ceo
Phone
(818) 280-3617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

21032 Devonshire St Ste 212
Chatsworth, CA 91311-2368

Mailing address

21032 Devonshire St Ste 212
Chatsworth, CA 91311-2368
Phone (818) 280-3617

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wisdom Home Health, IncCCN 559455
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Apr 30, 2021
Medicare certification status
Terminated Voluntary: merger or closure, Jan 30, 2026From the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2276721Wisdom Home Health Inc21032 Devonshire St Suite 212, Chatsworth, CA 91311Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

Locations

21032 Devonshire St
Ste 212
Chatsworth, CA 91311
Phone (818) 280-3617

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1710510375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21032 DEVONSHIRE ST STE 212",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112368",
            "telephone_number": "818-280-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21032 DEVONSHIRE ST STE 212",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112368",
            "telephone_number": "818-280-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A",
        "authorized_official_last_name": "ADAMYAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-280-3617"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.