Active NPI
Distinctive Home Health Care Inc
- Home Health Agency
- Valley Village, CA
National Provider Identifier
1821726597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DISTINCTIVE HOME HEALTH CARE INC
- Practice address
- 12501 Chandler Blvd Ste 104
Valley Village, CA 91607-1958 - Phone
- (818) 210-0073
- NPI assigned
- Aug 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aram Urfalyan
- Title
- Ceo/Cfo/Secretary
- Phone
- (818) 210-0073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
12501 Chandler Blvd Ste 104
Valley Village, CA 91607-1958
Mailing address
12501 Chandler Blvd Ste 104
Valley Village, CA 91607-1958
Phone (818) 210-0073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240501002091 | CA | Part A Provider - Home Health Agency | 1052751559 | Practice locations: Valley Village, CA |
Home health agency certification: CCN 757936
- Legal name
- DISTINCTIVE HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 22, 2025
- Last certification
- Apr 17, 2025
- Organization structure
- Corporation
- Incorporated
- Mar 2, 2021 in CA
- Enrollment address
- 12501 Chandler Blvd
Ste 104
Valley Village, CA 91607-1958
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Distinctive Home Health Care Inc
- Ownership
- -
- Certified
- Apr 22, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
12501 Chandler Blvd
Ste 104
Valley Village, CA 91607
Phone (818) 210-0073
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Aram Urfalyan | 5% Or Greater Direct Ownership Interest | Mar 2, 2021 | 100% |
| Corporate Officer | Mar 1, 2021 | 100% | |
| Corporate Director | Mar 2, 2021 | 100% | |
| W-2 Managing Employee | Mar 2, 2021 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691452800000",
"number": "1821726597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 CHANDLER BLVD STE 104",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071958",
"telephone_number": "818-210-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 CHANDLER BLVD STE 104",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071958",
"telephone_number": "818-210-0073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTINCTIVE HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-10",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A",
"authorized_official_last_name": "URFALYAN",
"authorized_official_first_name": "ARAM",
"authorized_official_title_or_position": "CEO/CFO/SECRETARY",
"authorized_official_telephone_number": "818-210-0073"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.