Organization Active NPI

Delta Health Services, Inc.

  • Home Health Agency
  • Valley Village, CA
National Provider Identifier
1932851888
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DELTA HEALTH SERVICES, INC.
Practice address
12722 Riverside Dr Ste 201a
Valley Village, CA 91607-3326
Phone
(818) 570-2540
Fax
(818) 301-4053
NPI assigned
Jan 21, 2022
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Mrs. Myhanh Nguyen, RNNPI 1851248728
Title
Administrator/DPCS
Phone
(714) 494-4192

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 NU Primary

Addresses

Primary practice location

12722 Riverside Dr Ste 201a
Valley Village, CA 91607-3326

Mailing address

18430 Brookhurst St.
#201J
Fountain Valley, CA 92708-6726
Phone (714) 494-4192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230801000917 CA Part A Provider - Home Health Agency 0941661466 Practice locations: Fountain Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932851888. Details of each certification follow.

Home health agency certification: CCN 757650

Legal name
DELTA HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 10, 2024
Last certification
May 10, 2024
Organization structure
CorporationProprietary
Enrollment address
18430 Brookhurst St
Ste 201J
Fountain Valley, CA 92708-6726

Care Compare: Home health agency

Medicare Care Compare
Listed as
Delta Health Services IncCCN 757650 · All quality measures
Overall star rating
4.5 of 5
Ownership
-
Certified
May 10, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18430 Brookhurst St
#201J
Fountain Valley, CA 92708

18430 Brookhurst St
Ste 201J
Fountain Valley, CA 92708
Phone (713) 494-4192

12722 Riverside Dr
Ste 201A
Valley Village, CA 91607
Phone (818) 570-2540

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
Sergey Bedrossian Individual 5% Or Greater Direct Ownership Interest Jan 6, 2022 100%
Myhanh Nguyen Individual Contracted Managing EmployeeAd;DPCS Dec 1, 2024 100%
Corporate OfficerCeo Dec 1, 2024 49%

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 3

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": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1932851888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST.",
            "address_2": "#201J",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086726",
            "telephone_number": "714-494-4192",
            "fax_number": "714-442-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12722 RIVERSIDE DR STE 201A",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073326",
            "telephone_number": "818-570-2540",
            "fax_number": "818-301-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MYHANH",
        "authorized_official_title_or_position": "ADMINISTRATOR/DPCS",
        "authorized_official_telephone_number": "714-494-4192",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.