Active NPI
Peaceful Home Health, Inc.
- Home Health Agency
- Van Nuys, CA
National Provider Identifier
1710692835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Ownership
- -
- Certified
- Mar 20, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mta Investments Inc | 5% Or Greater Direct Ownership Interest | Feb 12, 2024 | 100% |
| Tatevik Mirzoyan | 5% Or Greater Indirect Ownership Interest | Jan 1, 2022 | 100% |
| Corporate Officer | Jan 1, 2022 | 100% | |
| Corporate Director | Jan 1, 2022 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.