Organization Active NPI

Valeo Home Health Care, Inc

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1750046694
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VALEO HOME HEALTH CARE, INC
Practice address
2139 Tapo St Ste 222
Simi Valley, CA 93063-3477
Phone
(805) 267-9777
Fax
(805) 267-9639
NPI assigned
Nov 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Vahan Sargsyan
Title
Ceo
Phone
(805) 267-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2139 Tapo St Ste 222
Simi Valley, CA 93063-3477

Mailing address

2139 Tapo St Ste 222
Simi Valley, CA 93063-3477
Phone (805) 267-9777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230913001665 CA Part A Provider - Home Health Agency 5799149431 Practice locations: Simi Valley, CA

Home health agency certification: CCN 757722

Legal name
VALEO HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 18, 2024
Last certification
Feb 29, 2024
Organization structure
CorporationProprietary
Enrollment address
2139 Tapo St
Ste 222
Simi Valley, CA 93063-3477

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wellsky Home Health Care, IncCCN 757722
Overall star rating
3.5 of 5
Ownership
-
Certified
Mar 18, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2320425Valeo Home Health, Inc2139 Tapo St Suite 222, Simi Valley, CA 93063Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tetyana Ustynova Individual 5% Or Greater Direct Ownership Interest49 Oct 10, 2024
Corporate OfficerCeo Oct 1, 2024 49%
Corporate DirectorCeo Oct 10, 2024 49%
W-2 Managing Employee Oct 10, 2024 49%
Arman Danielian Individual 5% Or Greater Direct Ownership InterestCeo Oct 10, 2024 25%
Corporate OfficerCeo Oct 10, 2024 25%
Corporate DirectorCeo Oct 10, 2024 25%
W-2 Managing EmployeeCeo Oct 10, 2024 25%
Vahan Sargsyan Individual 5% Or Greater Direct Ownership InterestCeo Oct 10, 2024 26%
Corporate OfficerCeo Oct 10, 2024 26%
Corporate DirectorCeo Oct 10, 2024 26%
W-2 Managing EmployeeCeo Oct 10, 2024 26%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1750046694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 222",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633477",
            "telephone_number": "805-267-9777",
            "fax_number": "805-267-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 222",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633477",
            "telephone_number": "805-267-9777",
            "fax_number": "805-267-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALEO HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-267-9777"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.