Organization Active NPI

Avis Home Health, Inc.

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1881331403
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVIS HOME HEALTH, INC.
Practice address
22900 Ventura Blvd Ste 175
Woodland Hills, CA 91364-1285
Phone
(818) 835-9495
NPI assigned
May 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Alexander G Gevorkyants
Title
Ceo
Phone
(818) 835-9495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

22900 Ventura Blvd Ste 175
Woodland Hills, CA 91364-1285

Mailing address

22900 Ventura Blvd Ste 175
Woodland Hills, CA 91364-1285
Phone (818) 835-9495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250214001829 CA Part A Provider - Home Health Agency 1658801055 Practice locations: Woodland Hills, CA

Home health agency certification: CCN 758123

Legal name
AVIS HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 7, 2025
Last certification
Aug 7, 2025
Organization structure
CorporationProprietary
Enrollment address
22900 Ventura Blvd
Ste 175
Woodland Hills, CA 91364-1285

Care Compare: Home health agency

Medicare Care Compare
Listed as
Avis Home Health, Inc.CCN 758123 · All quality measures
Ownership
-
Certified
Aug 7, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

22900 Ventura Blvd
Ste 175
Woodland Hills, CA 91364
Phone (818) 835-9495

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
Alexander Gevorkyants Individual 5% Or Greater Direct Ownership InterestCeo Mar 18, 2022 100%
Corporate OfficerCeo/Cfo/Sec Mar 18, 2022
Corporate DirectorCeo/Cfo Mar 18, 2022
W-2 Managing EmployeeCeo/Cfo Mar 18, 2022

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1881331403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22900 VENTURA BLVD STE 175",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641285",
            "telephone_number": "818-835-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22900 VENTURA BLVD STE 175",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641285",
            "telephone_number": "818-835-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "GEVORKYANTS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-835-9495"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.