Organization Active NPI

VA Home Health Care Inc

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1891452637
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VA HOME HEALTH CARE INC
Practice address
15053 Ventura Blvd Ste 202B
Sherman Oaks, CA 91403-2498
Phone
(747) 345-3034
Fax
(747) 345-3394
NPI assigned
Nov 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Madlen Margaryan
Title
Ceo
Phone
(747) 345-3034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15053 Ventura Blvd Ste 202B
Sherman Oaks, CA 91403-2498

Mailing address

15053 Ventura Blvd Ste 202B
Sherman Oaks, CA 91403-2498
Phone (747) 345-3034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230706000782 CA Part A Provider - Home Health Agency 3173982337 Practice locations: Sherman Oaks, CA

Home health agency certification: CCN 757700

Legal name
VA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 17, 2024
Last certification
Jul 17, 2024
Organization structure
CorporationProprietary
Incorporated
Nov 4, 2021 in CA
Enrollment address
15053 Ventura Blvd
Ste 202B
Sherman Oaks, CA 91403-2498

Care Compare: Home health agency

Medicare Care Compare
Listed as
VA Home Health Care IncCCN 757700
Overall star rating
1.5 of 5
Ownership
-
Certified
Jul 17, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

17157 Ventura Blvd
Ste 3
Encino, CA 91316

15053 Ventura Blvd
Ste 202B
Sherman Oaks, CA 91403
Phone (747) 345-3034

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
Madlen Margaryan Individual 5% Or Greater Direct Ownership InterestCeo Nov 4, 2021 100%
Corporate OfficerCeo Nov 4, 2021 100%
Corporate DirectorCeo Nov 4, 2021 100%
W-2 Managing EmployeeCeo Nov 4, 2021 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": "1638057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1891452637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15053 VENTURA BLVD STE 202B",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032498",
            "telephone_number": "747-345-3034",
            "fax_number": "747-345-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15053 VENTURA BLVD STE 202B",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032498",
            "telephone_number": "747-345-3034",
            "fax_number": "747-345-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-28",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "MARGARYAN",
        "authorized_official_first_name": "MADLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-345-3034"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.