Organization Active NPI

Vista Home Health Care, Inc.

  • Home Health Agency
  • Sun Valley, CA
National Provider Identifier
1902295686
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VISTA HOME HEALTH CARE, INC.
Practice address
7200 Vineland Ave
# 204 B
Sun Valley, CA 91352-5077
Phone
(424) 334-2299
NPI assigned
Jan 17, 2015
Last updated
Jan 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Authorized official

Name
Mrs. Anait OvsepyanNPI 1134477128
Title
Ceo
Phone
(818) 823-1828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

7200 Vineland Ave
# 204 B
Sun Valley, CA 91352-5077

Mailing address

7200 Vineland Ave
# 204 B
Sun Valley, CA 91352-5077
Phone (424) 334-2299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150721002359 CA Part A Provider - Home Health Agency 3173836053 Practice locations: Sun Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902295686. Details of each certification follow.

Home health agency certification: CCN 053166

Legal name
VISTA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 30, 2018
Last certification
Apr 13, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 20, 2014 in CA
Enrollment address
7200 Vineland Ave
Unit 204B
Sun Valley, CA 91352-5089
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vista Home Health Care, IncCCN 053166 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Apr 30, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

7200 Vineland Ave
Unit 204B
Sun Valley, CA 91352
Phone (424) 334-2299

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
Anait Ovsepyan Individual 5% Or Greater Direct Ownership InterestOwner Oct 20, 2014 100%
Corporate OfficerCeo Oct 20, 2014 100%
Corporate DirectorCeo Oct 20, 2014 100%
W-2 Managing EmployeeCeo Oct 20, 2014 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

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": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1902295686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 VINELAND AVE",
            "address_2": "# 204 B",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525077",
            "telephone_number": "424-334-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 VINELAND AVE",
            "address_2": "# 204 B",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525077",
            "telephone_number": "424-334-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "OVSEPYAN",
        "authorized_official_first_name": "ANAIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-823-1828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

Verify at the official NPI Registry.