Avid Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVID HOME HEALTH CARE INC

Practice address

13735 Victory Blvd Ste 13
Van Nuys, CA 91401-6737

Phone

(424) 210-8414

Fax

(424) 210-8416

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Mari Simonyan

Title

Ceo

Phone

(424) 210-8414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1902661226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13735 VICTORY BLVD STE 13",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016737",
            "telephone_number": "424-210-8414",
            "fax_number": "424-210-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13735 VICTORY BLVD STE 13",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016737",
            "telephone_number": "424-210-8414",
            "fax_number": "424-210-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SIMONYAN",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-210-8414"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.