Tree of Life Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TREE OF LIFE HOME HEALTH CARE INC

Practice address

6356 Van Nuys Blvd Ste 229
Van Nuys, CA 91401-2743

Phone

(818) 743-4656

NPI assigned

Jul 5, 2021

Organization subpart

No

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

Authorized official

Name

Karine Harutyunyan

Title

Ceo

Phone

(818) 743-4656

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757318

Legal name

TREE OF LIFE HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 26, 2023

Last certification

Jun 13, 2023

Organization structure

CorporationProprietary

Incorporated

May 5, 2021 in CA

Enrollment address

8416 Lankershim Blvd
Ste 203
Sun Valley, CA 91352-3119

Listed as

Tree of Life Home Health Care IncCCN 757318 · All quality measures

Overall star rating

2 of 5

Ownership

-

Certified

Jun 26, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Brian L Minkus, D.O.

  • Family Medicine Physician
  • Artesia, CA
  • NPI 1235165507

  Home health agency

  Care Compare affiliation
• Suwen Pan, FNP-BC

  • Family Nurse Practitioner
  • Downey, CA
  • NPI 1881142438

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1740851419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6356 VAN NUYS BLVD STE 229",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6356 VAN NUYS BLVD STE 229",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012743",
            "telephone_number": "818-743-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-743-4656"
    },
    "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 Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.

Verify at the official NPI Registry.