Organization Active NPI

Peaceful Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1710692835
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACEFUL HOME HEALTH, INC.
Practice address
14545 Friar St Ste 357
Van Nuys, CA 91411-2397
Phone
(800) 520-2119
NPI assigned
Jan 23, 2023
Organization subpart
Yes
Parent organization
MTA INVESTMENTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Tatevik Mirzoyan
Title
Ceo
Phone
(800) 520-2119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 357
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 357
Van Nuys, CA 91411-2397
Phone (800) 520-2119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240221000664 CA Part A Provider - Home Health Agency 9335583061 Practice locations: Burbank, CA; Van Nuys, CA

Home health agency certification: CCN 757887

Legal name
PEACEFUL HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 20, 2025
Last certification
Mar 13, 2025
Organization structure
CorporationProprietary
Enrollment address
14545 Friar St
Ste 357
Van Nuys, CA 91411-2397

Care Compare: Home health agency

Medicare Care Compare
Listed as
Peaceful Home Health, Inc.CCN 757887
Ownership
-
Certified
Mar 20, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

300 N 3rd St
Ste 307
Burbank, CA 91502
Phone (800) 520-2119

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
Mta Investments Inc Organization, Van Nuys, CA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 12, 2024 100%
Tatevik Mirzoyan Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 100%
Corporate OfficerCeo/President/Cfo/Secretary Jan 1, 2022 100%
Corporate DirectorCeo/President/Cfo/Secretary Jan 1, 2022 100%
W-2 Managing EmployeeCeo/President/Cfo/Secretary Jan 1, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1710692835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 357",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "800-520-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 357",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "800-520-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MTA INVESTMENTS, INC.",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "MIRZOYAN",
        "authorized_official_first_name": "TATEVIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-520-2119"
    },
    "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.