Vigorous Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VIGOROUS HOME HEALTH CARE

Practice address

17620 Sherman Way
Unit 214
Sherman Way, CA 91406-3527

Phone

(818) 660-0880

Fax

(818) 660-0880

NPI assigned

Aug 9, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anaid MatinyanNPI 1316469729

Title

Ceo

Phone

(818) 666-0880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790200913. Details of each certification follow.

• CCN 559171 Home health agency · Active · Details

Home health agency certification: CCN 559171

Legal name

VIGOROUS HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 20, 2019

Last certification

Nov 20, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 24, 2017 in CA

Enrollment address

17620 Sherman Way
Ste 214
Van Nuys, CA 91406-3527

Listed as

Vigorous Home Health CareCCN 559171 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Nov 20, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anaid Matinyan

  • Home Health Registered Nurse
  • Van Nuys, CA
  • NPI 1316469729
  NPD Authorized official

Affiliated clinicians 1

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

• Vardui Arutyunyan, MD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1841235223

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790200913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17620 SHERMAN WAY STE 214",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063527",
            "telephone_number": "818-660-0880",
            "fax_number": "818-660-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17620 SHERMAN WAY",
            "address_2": "UNIT 214",
            "city": "SHERMAN WAY",
            "state": "CA",
            "postal_code": "914063527",
            "telephone_number": "818-660-0880",
            "fax_number": "818-660-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGOROUS HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATINYAN",
        "authorized_official_first_name": "ANAID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-666-0880"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.