Organization Active NPI

Charitable Home Health, Inc.

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1780072769
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHARITABLE HOME HEALTH, INC.
Practice address
15315 Magnolia Blvd Ste 404
Sherman Oaks, CA 91403-1175
Phone
(818) 785-4882
Fax
(818) 785-4883
NPI assigned
Dec 29, 2014
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Ms. Nune Vardanyan
Title
President/Ceo
Phone
(818) 785-4882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

15315 Magnolia Blvd Ste 404
Sherman Oaks, CA 91403-1175

Mailing address

15315 Magnolia Blvd Ste 404
Sherman Oaks, CA 91403-1175
Phone (818) 785-4882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150122001047 CA Part A Provider - Home Health Agency 3375867369 Practice locations: Sherman Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780072769. Details of each certification follow.

Home health agency certification: CCN 559179

Legal name
CHARITABLE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 11, 2019
Last certification
Jul 11, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 12, 2014 in CA
Enrollment address
15315 Magnolia Blvd
Ste 404
Sherman Oaks, CA 91403-1175

Care Compare: Home health agency

Medicare Care Compare
Listed as
Charitable Home Health, IncCCN 559179 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 11, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2219804Charitable Home Health Inc15315 Magnolia Blvd Ste 404, Sherman Oaks, CA 91403Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

15315 Magnolia Blvd
Ste 404
Sherman Oaks, CA 91403
Phone (818) 785-4882

14540 Hamlin St
#B2
Van Nuys, CA 91411
Phone (818) 370-9761

14540 Hamlin St
Ste B1
Van Nuys, CA 91411
Phone (818) 785-4875

14540 Hamlin St
Ste B2
Van Nuys, CA 91411
Phone (818) 997-6876

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
Nune Vardanyan Individual 5% Or Greater Direct Ownership Interest Dec 12, 2014 100%
Corporate OfficerCeo Dec 12, 2014 100%
Corporate DirectorChairman of the Board Dec 12, 2014 100%
W-2 Managing EmployeePresident Dec 12, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1780072769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD STE 404",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031175",
            "telephone_number": "818-785-4882",
            "fax_number": "818-785-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD STE 404",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031175",
            "telephone_number": "818-785-4882",
            "fax_number": "818-785-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITABLE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "NUNE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-785-4882",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.