NPIMap

Organization Active NPI

Sunny Smile Home Health, Inc.

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1881362911
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNNY SMILE HOME HEALTH, INC.
Practice address
5311 Topanga Canyon Blvd Ste 217
Woodland Hills, CA 91364-1754
Phone
(800) 266-9025
NPI assigned
Sep 2, 2021
Organization subpart
Yes
Parent organization
SS INVESTMENT GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Lusine Avagyan
Title
Ceo
Phone
(800) 266-9025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5311 Topanga Canyon Blvd Ste 217
Woodland Hills, CA 91364-1754

Mailing address

5311 Topanga Canyon Blvd Ste 217
Woodland Hills, CA 91364-1754
Phone (800) 266-9025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221116000090 CA Part A Provider - Home Health Agency 9537537931 Practice locations: Woodland Hills, CA

Home health agency certification: CCN 757382

Legal name
SUNNY SMILE HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 21, 2023
Last certification
Aug 8, 2023
Organization structure
CorporationProprietary
Incorporated
Aug 26, 2021 in CA
Enrollment address
22151 Ventura Blvd
Ste 207
Woodland Hills, CA 91364-1665

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sunny Smile Home Health, IncCCN 757382
Overall star rating
2.5 of 5
Ownership
-
Certified
Aug 21, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

22151 Ventura Blvd
Ste 207
Woodland Hills, CA 91364
Phone (818) 609-2663

5311 Topanga Canyon Blvd
Ste 217
Woodland Hills, CA 91364
Phone (800) 266-9025

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
Lusine Avagyan Individual 5% Or Greater Indirect Ownership Interest Feb 15, 2024 51%
Corporate OfficerGoverning Body Member Feb 15, 2024 51%
Corporate DirectorGoverning Body Member Feb 15, 2024 51%
W-2 Managing EmployeeGoverning Body Member Feb 15, 2024 51%
Bita Z Shahangian Individual 5% Or Greater Direct Ownership Interest Feb 15, 2024 49%
Corporate OfficerCeo,Cfo,Secretary,Administrator Feb 15, 2024 49%
Corporate DirectorCeo,Cfo,Secretary,Administrator Feb 15, 2024 49%
W-2 Managing EmployeeAd;Ceo,Cfo,Secretary Feb 15, 2024 49%
SS Investment Group Inc Organization, Woodland Hills, CA Created for acquisition, Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 15, 2024 51%

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1881362911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 217",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754",
            "telephone_number": "800-266-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 217",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754",
            "telephone_number": "800-266-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SMILE HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SS INVESTMENT GROUP, INC.",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "AVAGYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-266-9025"
    },
    "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.