Organization Active NPI

DV Quality Home Health Care Inc

  • Home Health Agency
  • Lancaster, CA
National Provider Identifier
1801566138
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DV QUALITY HOME HEALTH CARE INC
Practice address
936 W Avenue J4 Ste 202
Lancaster, CA 93534-4246
Phone
(747) 977-3331
Fax
(747) 977-3332
NPI assigned
Sep 17, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Davit VardanyanNPI 1861075699
Title
Ceo
Phone
(747) 977-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

936 W Avenue J4 Ste 202
Lancaster, CA 93534-4246

Mailing address

936 W Avenue J4 Ste 202
Lancaster, CA 93534-4246
Phone (747) 977-3331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221117000420 CA Part A Provider - Home Health Agency 1557739844 Practice locations: North Hollywood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801566138. Details of each certification follow.

Home health agency certification: CCN 757476

Legal name
DV QUALITY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 22, 2023
Last certification
Nov 10, 2023
Organization structure
CorporationProprietary
Enrollment address
6005 Vineland Ave
Ste 211
North Hollywood, CA 91606-4982

Care Compare: Home health agency

Medicare Care Compare
Listed as
DV Quality Home Health Care, Inc.CCN 757476 · All quality measures
Overall star rating
5 of 5
Ownership
-
Certified
Nov 22, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

936 W Avenue J4
Ste 202
Lancaster, CA 93534
Phone (747) 977-3331

6005 Vineland Ave
Ste 211
North Hollywood, CA 91606
Phone (818) 306-4686

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Irina Sargsyan Individual W-2 Managing EmployeeAd;DPCS Apr 1, 2026
Davit Vardanyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary Jan 20, 2021 100%
Corporate OfficerCeo/Cfo/Secretary Jan 20, 2021 100%
Corporate DirectorCeo/Cfo/Secretary Jan 20, 2021 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Jan 20, 2021 100%

Practitioners & affiliated clinicians

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.

Affiliated clinicians 6

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": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1801566138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 W AVENUE J4 STE 202",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344246",
            "telephone_number": "747-977-3331",
            "fax_number": "747-977-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W AVENUE J4 STE 202",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344246",
            "telephone_number": "747-977-3331",
            "fax_number": "747-977-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DV QUALITY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-977-3331"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.