Blue Waves Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUE WAVES HOME HEALTH CARE, INC.

Practice address

7251 Topanga Canyon Blvd Ste B2
Canoga Park, CA 91303-1269

Phone

(747) 444-4476

Fax

(747) 444-4305

NPI assigned

Jul 7, 2022

Last updated

Jul 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khachik Kyureghyan

Title

Ceo

Phone

(747) 444-4476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932832821. Details of each certification follow.

• CCN 758095 Home health agency · Active · Details

Home health agency certification: CCN 758095

Legal name

BLUE WAVES HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 13, 2025

Last certification

Aug 6, 2025

Organization structure

CorporationProprietary

Enrollment address

7251 Topanga Canyon Blvd
Ste B2
Canoga Park, CA 91303-1269
HHA Branch

Listed as

Blue Waves Home Health Care, Inc.CCN 758095 · All quality measures

Ownership

-

Certified

Aug 13, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1932832821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 TOPANGA CANYON BLVD STE B2",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031269",
            "telephone_number": "747-444-4476",
            "fax_number": "747-444-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 TOPANGA CANYON BLVD STE B2",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031269",
            "telephone_number": "747-444-4476",
            "fax_number": "747-444-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WAVES HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "KYUREGHYAN",
        "authorized_official_first_name": "KHACHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-444-4476"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.