Organization Active NPI

Palmy Home Health, Inc.

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1841865037
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PALMY HOME HEALTH, INC.
Practice address
15233 Ventura Blvd Ste 1004
Sherman Oaks, CA 91403-2306
Phone
(747) 271-3222
Fax
(747) 271-3223
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Mr. Vardges Babayan
Title
Owner, Ceo, Cfo, Secretary
Phone
(747) 271-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15233 Ventura Blvd Ste 1004
Sherman Oaks, CA 91403-2306

Mailing address

4100 W Alameda Ave Ste 303
Burbank, CA 91505-4153
Phone (747) 271-3222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221005002046 CA Part A Provider - Home Health Agency 6709262397 Practice locations: Sherman Oaks, CA

Home health agency certification: CCN 757419

Legal name
PALMY HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 15, 2023
Last certification
Sep 15, 2023
Organization structure
CorporationProprietary
Incorporated
Apr 6, 2021 in CA
Enrollment address
15233 Ventura Blvd
Ste 1004
Sherman Oaks, CA 91403-2306

Care Compare: Home health agency

Medicare Care Compare
Listed as
Palmy Home Health, Inc.CCN 757419
Overall star rating
4 of 5
Ownership
-
Certified
Sep 15, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4100 W Alameda Ave
Ste 303
Burbank, CA 91505

15233 Ventura Blvd
Ste 1004
Sherman Oaks, CA 91403
Phone (747) 271-3222

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
Vardges Babayan Individual 5% Or Greater Direct Ownership InterestGoverning Board Memeber, Preside Apr 6, 2021 100%
Corporate OfficerGoverning Board Memeber, Preside Apr 6, 2021 100%
W-2 Managing EmployeeGoverning Board Memeber, Preside Apr 6, 2021 100%
Palmy Home Health Inc Organization, Sherman Oaks, CA Corporation 5% Or Greater Direct Ownership Interest Apr 6, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1841865037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W ALAMEDA AVE STE 303",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054153",
            "telephone_number": "747-271-3222",
            "fax_number": "747-271-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD STE 1004",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032306",
            "telephone_number": "747-271-3222",
            "fax_number": "747-271-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "BABAYAN",
        "authorized_official_first_name": "VARDGES",
        "authorized_official_title_or_position": "OWNER, CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "747-271-3222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.