Organization Active NPI

Music Home Health

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1720642697
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MUSIC HOME HEALTH
Practice address
13746 Victory Blvd Ste 302
Van Nuys, CA 91401-6725
Phone
(818) 937-2526
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Gholamreza Ataollahetabrizi
Title
Ceo
Phone
(949) 300-6713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13746 Victory Blvd Ste 302
Van Nuys, CA 91401-6725

Mailing address

13746 Victory Blvd Ste 302
Van Nuys, CA 91401-6725

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190725002541 CA Part A Provider - Home Health Agency 5193063303 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559338

Legal name
MUSIC HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 21, 2020
Last certification
Jul 21, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 19, 2017 in CA
Enrollment address
13746 Victory Blvd
Ste 302
Van Nuys, CA 91401-6725
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Music Home HealthCCN 559338 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jul 21, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Music Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13746 Victory Blvd
Ste 302
Van Nuys, CA 91401
Phone (818) 582-3533

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
Gholamreza Ataollahetabrizi Individual 5% Or Greater Direct Ownership InterestOwner, Ceo, President Feb 4, 2025 100%
Corporate OfficerCeo, President Feb 4, 2025 100%
W-2 Managing EmployeeAd;DPCS Feb 4, 2025 100%
Operational/Managerial Control Feb 4, 2025 100%

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1720642697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 302",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 302",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016725",
            "telephone_number": "818-937-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSIC HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "ATAOLLAHETABRIZI",
        "authorized_official_first_name": "GHOLAMREZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-300-6713"
    },
    "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.