Organization Active NPI

Integrated Home Health Care Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1942801840
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTEGRATED HOME HEALTH CARE INC
Practice address
6354 Van Nuys Blvd Ste 101
Van Nuys, CA 91401-2601
Phone
(747) 300-7389
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Mr. Vahan Manukyan
Title
Ceo
Phone
(818) 517-8743

Specialties & licenses 1

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

Addresses

Primary practice location

6354 Van Nuys Blvd Ste 101
Van Nuys, CA 91401-2601

Mailing address

6354 Van Nuys Blvd Ste 101
Van Nuys, CA 91401-2601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230309000786 CA Part A Provider - Home Health Agency 0941673123 Practice locations: North Hollywood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942801840. Details of each certification follow.

Home health agency certification: CCN 757524

Legal name
INTEGRATED HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 20, 2023
Last certification
Dec 20, 2023
Organization structure
CorporationProprietary
Incorporated
Oct 19, 2020 in CA
Enrollment address
12444 Victory Blvd
Ste 400
North Hollywood, CA 91606-3156
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Integrated Home Health Care, Inc.CCN 757524 · All quality measures
Overall star rating
3.5 of 5
Ownership
-
Certified
Dec 20, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2315153Integrated Home Health Care, Inc12444 Victory Blvd Ste 400, North Hollywood, CA 91606Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
Ste 400
North Hollywood, CA 91606
Phone (818) 650-8053

6354 Van Nuys Blvd
#101
Van Nuys, CA 91401
Phone (747) 285-5554

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
Healthcare Collective Holding Company, Inc Organization, North Hollywood, CA Created for acquisition, Corporation, Holding company 5% Or Greater Direct Ownership Interest Nov 9, 2022 100%
Operational/Managerial Control Nov 9, 2022 100%
Vahan Manukyan Individual 5% Or Greater Indirect Ownership InterestCeo Nov 9, 2022 100%
Corporate OfficerCeo Nov 9, 2022 100%
Corporate DirectorCeo Nov 9, 2022 100%
W-2 Managing EmployeeCeo Nov 9, 2022 100%

Practitioners & affiliated clinicians

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": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1942801840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6354 VAN NUYS BLVD STE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 VAN NUYS BLVD STE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012601",
            "telephone_number": "747-300-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-517-8743",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.