Organization Active NPI

Peaceful Path Home Health Care, Inc.

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1851994685
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACEFUL PATH HOME HEALTH CARE, INC.
Practice address
12442 1/2 Oxnard St
North Hollywood, CA 91606-4510
Phone
(818) 900-9039
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Azniv Aslanyan
Title
Ceo
Phone
(818) 900-9039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12442 1/2 Oxnard St
North Hollywood, CA 91606-4510

Mailing address

12442 1/2 Oxnard St
North Hollywood, CA 91606-4510
Phone (818) 900-9039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221005002752 CA Part A Provider - Home Health Agency 9234512930 Practice locations: North Hollywood, CA

Home health agency certification: CCN 757206

Legal name
PEACEFUL PATH HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 8, 2023
Last certification
Mar 8, 2023
Organization structure
CorporationProprietary
Incorporated
Oct 21, 2020 in CA
Enrollment address
12442 1/2 Oxnard St
North Hollywood, CA 91606-4510

Care Compare: Home health agency

Medicare Care Compare
Listed as
Peaceful Path Home Health Care, Inc.CCN 757206
Overall star rating
2 of 5
Ownership
-
Certified
Mar 8, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

12442 Oxnard St
North Hollywood, CA 91606
Phone (818) 900-9039

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.

NameRoleSinceShare
Azniv Aslanyan Individual 5% Or Greater Direct Ownership InterestCeo Oct 21, 2020 100%
Corporate OfficerCeo Oct 21, 2020 100%
Corporate DirectorCeo Oct 21, 2020 100%
W-2 Managing EmployeeCeo Oct 21, 2020 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": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1851994685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12442 1/2 OXNARD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064510",
            "telephone_number": "818-900-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12442 1/2 OXNARD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064510",
            "telephone_number": "818-900-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PATH HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "ASLANYAN",
        "authorized_official_first_name": "AZNIV",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-900-9039"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.