Organization Active NPI

Direct Care Home Health Services Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1891372819
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIRECT CARE HOME HEALTH SERVICES INC
Practice address
17622 Sherman Way
Van Nuys, CA 91406-3509
Phone
(818) 296-9037
Fax
(818) 396-3083
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Tatev Tina Vardanyan
Title
Ceo
Phone
(818) 296-9037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17622 Sherman Way
Van Nuys, CA 91406-3509

Mailing address

17622 Sherman Way
Van Nuys, CA 91406-3509
Phone (818) 296-9037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220321000759 CA Part A Provider - Home Health Agency 4587059092 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891372819. Details of each certification follow.

Home health agency certification: CCN 757394

Legal name
DIRECT CARE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 25, 2023
Last certification
Aug 25, 2023
Organization structure
CorporationProprietary
Incorporated
Dec 3, 2020 in CA
Enrollment address
17622 Sherman Way
Van Nuys, CA 91406-3509

Care Compare: Home health agency

Medicare Care Compare
Listed as
Direct Care Home Health Services, Inc.CCN 757394 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Aug 25, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

17622 Sherman Way
Van Nuys, CA 91406
Phone (818) 296-9037

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
Tatev Vardanyan Individual 5% Or Greater Direct Ownership Interest Dec 3, 2020 100%
Corporate Officer Dec 3, 2020
Corporate Director Dec 3, 2020
W-2 Managing Employee Dec 3, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1891372819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17622 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063509",
            "telephone_number": "818-296-9037",
            "fax_number": "818-396-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17622 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063509",
            "telephone_number": "818-296-9037",
            "fax_number": "818-396-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CARE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "TATEV",
        "authorized_official_middle_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-296-9037"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.