Organization Active NPI

Mother Mia Home Health, Inc

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1922751015
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOTHER MIA HOME HEALTH, INC
Practice address
21900 Burbank Blvd Ste 3130
Woodland Hills, CA 91367-6469
Phone
(747) 254-2766
Fax
(818) 337-0353
NPI assigned
Jan 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Authorized official

Name
Erik Arbouet
Title
Ceo/Cfo/Secretary/Board Member
Phone
(747) 254-2766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

21900 Burbank Blvd Ste 3130
Woodland Hills, CA 91367-6469

Mailing address

21900 Burbank Blvd Ste 3130
Woodland Hills, CA 91367-6469
Phone (747) 254-2766

National Provider Directory

National Provider Directory

Locations

21900 Burbank Blvd
Ste 3130
Woodland Hills, CA 91367
Phone (747) 254-2766

NPI Registry JSON

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1922751015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21900 BURBANK BLVD STE 3130",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676469",
            "telephone_number": "747-254-2766",
            "fax_number": "818-337-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21900 BURBANK BLVD STE 3130",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676469",
            "telephone_number": "747-254-2766",
            "fax_number": "818-337-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER MIA HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "ARBOUET",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY/BOARD MEMBER",
        "authorized_official_telephone_number": "747-254-2766"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.