Organization Active NPI

Royal Homehealth Care Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1831560184
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ROYAL HOMEHEALTH CARE INC
Practice address
14328 Victory Blvd Ste 203
Van Nuys, CA 91401-6510
Phone
(818) 403-8888
Fax
(818) 241-4322
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Mr. Shota Varekyan
Title
Ceo
Phone
(818) 403-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

14328 Victory Blvd Ste 203
Van Nuys, CA 91401-6510

Mailing address

14328 Victory Blvd Ste 203
Van Nuys, CA 91401-6510
Phone (818) 403-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171221001748 CA Part A Provider - Home Health Agency 0446518476 Practice locations: Van Nuys, CA

Home health agency certification: CCN 553115

Legal name
ROYAL HOMEHEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 15, 2018
Last certification
Oct 15, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 5, 2015 in CA
Enrollment address
14328 Victory Blvd
Ste 203
Van Nuys, CA 91401-6510

Care Compare: Home health agency

Medicare Care Compare
Listed as
Royal Homehealth Care, IncCCN 553115
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 15, 2018
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
05D2146474Royal Homehealth Care, Inc.14328 Victory Blvd Ste 203, Van Nuys, CA 91401Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory

Locations

14328 Victory Blvd
Ste 203
Van Nuys, CA 91401
Phone (818) 403-8888

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
Shota Varekyan Individual 5% Or Greater Direct Ownership InterestOwner Mar 26, 2016 100%
Corporate OfficerCeo/Cfo Mar 26, 2016 67%
Corporate DirectorCeo/Cfo Mar 26, 2016 67%
W-2 Managing EmployeeCeo/Cfo Mar 26, 2016 67%
Azniv Aslanyan Individual Corporate OfficerSecretary Mar 26, 2016 33%
Corporate DirectorSecretary Mar 26, 2016 50%
W-2 Managing EmployeeSecretary Mar 26, 2016 33%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1831560184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14328 VICTORY BLVD STE 203",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016510",
            "telephone_number": "818-403-8888",
            "fax_number": "818-241-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14328 VICTORY BLVD STE 203",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016510",
            "telephone_number": "818-403-8888",
            "fax_number": "818-241-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HOMEHEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "VAREKYAN",
        "authorized_official_first_name": "SHOTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-403-8888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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.