NPIMap

Organization Active NPI

Speedy Care Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1801465307
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SPEEDY CARE HOME HEALTH INC
Practice address
14664 Victory Blvd Ste 110
Van Nuys, CA 91411-1621
Phone
(818) 983-9550
Fax
(818) 804-3364
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Marine Khachoyan
Title
Ceo
Phone
(818) 983-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14664 Victory Blvd Ste 110
Van Nuys, CA 91411-1621

Mailing address

14664 Victory Blvd Ste 110
Van Nuys, CA 91411-1621
Phone (818) 983-9550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220825000849 CA Part A Provider - Home Health Agency 5395129332 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757230

Legal name
SPEEDY CARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 2, 2023
Last certification
May 2, 2023
Organization structure
CorporationProprietary
Incorporated
Apr 23, 2021 in CA
Enrollment address
14664 Victory Blvd
Ste 110
Van Nuys, CA 91411-1621

Care Compare: Home health agency

Medicare Care Compare
Listed as
Speedy Care Home Health IncCCN 757230
Overall star rating
3.5 of 5
Ownership
-
Certified
May 2, 2023
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
05D2315241Speedy Care Home Health Inc14664 Victory Blvd Ste 110, Van Nuys, CA 91411Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

Locations

14664 Victory Blvd
Ste 110
Van Nuys, CA 91411
Phone (818) 983-9550

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
Marine Khachoyan Individual 5% Or Greater Direct Ownership Interest Apr 8, 2024 51%
Corporate OfficerCeo Apr 8, 2024 51%
Corporate DirectorCeo Apr 8, 2024 51%
W-2 Managing EmployeeCeo Apr 8, 2024 51%
Phillip Oganesyan Individual W-2 Managing EmployeeAd;DPCS May 1, 2026
Varuzhan Bilbulyan Individual 5% Or Greater Direct Ownership Interest Apr 8, 2024 49%
Corporate OfficerCeo Apr 8, 2024 49%
Corporate DirectorCeo Apr 8, 2024 49%
W-2 Managing EmployeeCeo Apr 8, 2024 49%

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1801465307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14664 VICTORY BLVD STE 110",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "818-983-9550",
            "fax_number": "818-804-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14664 VICTORY BLVD STE 110",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "818-983-9550",
            "fax_number": "818-804-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEEDY CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "KHACHOYAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-983-9550"
    },
    "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.