Organization Active NPI

Homeliving Health Providers, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1891990065
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOMELIVING HEALTH PROVIDERS, INC.
Practice address
18321 Ventura Blvd.
Suite 780
Tarzana, CA 91356-6441
Phone
(818) 609-9000
Fax
(818) 609-9055
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Emma Smbatyan, RN
Title
DPCS
Phone
(818) 609-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18321 Ventura Blvd.
Suite 780
Tarzana, CA 91356-6441

Mailing address

18321 Ventura Blvd.
Suite 780
Tarzana, CA 91356-6441
Phone (818) 609-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070823000820 CA Part A Provider - Home Health Agency 1153413992 Practice locations: Tarzana, CA

Home health agency certification: CCN 059048

Legal name
HOMELIVING HEALTH PROVIDERS, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 20, 2009
Last certification
Apr 19, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 23, 2007 in CA
Enrollment address
18321 Ventura Blvd 780
Tarzana, CA 91356-6441

Care Compare: Home health agency

Medicare Care Compare
Listed as
Homeliving Health Providers, IncCCN 059048 · All quality measures
Ownership
Proprietary
Certified
Apr 20, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1084400Homeliving Health Providers, Inc18321 Ventura Blvd Ste 780, Tarzana, CA 91356Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

931 Buena Vista St
Ste 501
Duarte, CA 91010
Phone (626) 357-4444

18321 Ventura Blvd
Ste 780
Tarzana, CA 91356
Phone (818) 609-9000

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen M. Levine MD., Apc Organization, Tarzana, CA Corporation Operational/Managerial Control Jan 1, 2013
Emma Smbatyan Individual 5% Or Greater Direct Ownership Interest Dec 4, 2007 100%
Corporate OfficerCfo Dec 4, 2007 50%
Corporate DirectorDirector of Nursing Jan 26, 2016 100%
W-2 Managing EmployeeDPCS and Administrator Jul 1, 2022 100%
Operational/Managerial ControlAdministrator Apr 30, 2014 50%

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1891990065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18321 VENTURA BLVD.",
            "address_2": "SUITE 780",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566441",
            "telephone_number": "818-609-9000",
            "fax_number": "818-609-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 VENTURA BLVD.",
            "address_2": "SUITE 780",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566441",
            "telephone_number": "818-609-9000",
            "fax_number": "818-609-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMELIVING HEALTH PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "SMBATYAN",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "DPCS",
        "authorized_official_telephone_number": "818-609-9000",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.