Organization Active NPI

Villa Blanca Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1841892007
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VILLA BLANCA HOME HEALTH, INC.
Practice address
16120 Sherman Way Ste B
Van Nuys, CA 91406-3907
Phone
(818) 620-4242
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Mrs. Lilit Hakobyan
Title
Ceo
Phone
(424) 888-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16120 Sherman Way Ste B
Van Nuys, CA 91406-3907

Mailing address

16120 Sherman Way Ste B
Van Nuys, CA 91406-3907
Phone (818) 620-4242

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL villablancahomehealth@gmail.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211029000225 CA Part A Provider - Home Health Agency 4981015476 Practice locations: Northridge, CA

Home health agency certification: CCN 757021

Legal name
VILLA BLANCA HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 26, 2022
Last certification
Jun 9, 2022
Organization structure
CorporationProprietary
Enrollment address
8949 Reseda Blvd
Ste 202
Northridge, CA 91324-3966
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Villa Blanca Home Health, Inc.CCN 757021 · All quality measures
Ownership
-
Certified
Jun 26, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

16120 Sherman Way
#B
Van Nuys, CA 91406
Phone (818) 620-4242

16120 Sherman Way
Ste B
Van Nuys, CA 91406
Phone (818) 620-4242

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
Artur Aghakhanyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 24, 2025 100%
Corporate OfficerCeo Sep 24, 2025 100%
Corporate DirectorCeo Sep 24, 2025 100%
W-2 Managing EmployeeCeo Sep 24, 2025 100%
Linh Casis Individual Corporate DirectorAdmin/DPCS Oct 19, 2020
W-2 Managing EmployeeAdmin/DPCS May 20, 2020
Ksenia Oganni Individual W-2 Managing EmployeeAdmin/DPCS Designee Oct 17, 2021

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1841892007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16120 SHERMAN WAY STE B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063907",
            "telephone_number": "818-620-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16120 SHERMAN WAY STE B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063907",
            "telephone_number": "818-620-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA BLANCA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "LILIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-888-5888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "villablancahomehealth@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16120 Sherman Way Ste B",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914063907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.