Valley Village Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VALLEY VILLAGE HOME CARE INC

Practice address

5940 1/2 Laurel Canyon Blvd
Valley Village, CA 91607

Phone

(818) 579-4763

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Artur Pogosyan

Title

Ceo

Phone

(818) 579-4763

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559238

Legal name

VALLEY VILLAGE HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 20, 2020

Last certification

Apr 20, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 13, 2017 in CA

Enrollment address

5940 1/2 Laurel Canyon Blvd
Valley Village, CA 91607-1208

Listed as

Valley Village Home Care, IncCCN 559238

Ownership

Proprietary

Certified

Apr 20, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1871007724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 1/2 LAUREL CANYON BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 1/2 LAUREL CANYON BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91607",
            "telephone_number": "818-579-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VILLAGE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "POGOSYAN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-579-4763"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• USA Vascular Centers of Los Angeles, PC
• VA Touch Home Care Inc
• Valerie P Israel D.O., Inc
• Valley Paradise Boarding Care
• Valley Village Health Clinic PC
• Valley Village Home Health, Inc.
• Valley Village Hospice, Inc.
• Valley Village Senior Living, Inc.
• Valley Village Vein Clinic PC
• Vantage Health Sciences

• Home Health Agency in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.

Verify at the official NPI Registry.