Organization Active NPI

VLS Home Health Inc

  • Home Health Agency
  • Valley Village, CA
National Provider Identifier
1942929971
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VLS HOME HEALTH INC
Practice address
5315 Laurel Canyon Blvd Ste 103B
Valley Village, CA 91607-2737
Phone
(747) 977-0658
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Lusine Khemchyan
Title
Ceo
Phone
(747) 977-0658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5315 Laurel Canyon Blvd Ste 103B
Valley Village, CA 91607-2737

Mailing address

5315 Laurel Canyon Blvd Ste 103B
Valley Village, CA 91607-2737
Phone (747) 977-0658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250630004112 CA Part A Provider - Home Health Agency 7315450624 Practice locations: Valley Village, CA

Home health agency certification: CCN 758185

Legal name
VLS HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 14, 2025
Last certification
Oct 14, 2025
Organization structure
CorporationProprietary
Enrollment address
5315 Laurel Canyon Blvd
Ste 103B
Valley Village, CA 91607-2737

Care Compare: Home health agency

Medicare Care Compare
Listed as
VLS Home Health IncCCN 758185
Ownership
-
Certified
Oct 14, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5315 Laurel Canyon Blvd
Ste 103B
Valley Village, CA 91607
Phone (747) 363-8223

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Norie Ann G Mabanta Individual W-2 Managing EmployeeAdmin Designee/DPCS Designee Sep 6, 2022
Lusine Khemchyan Individual 5% Or Greater Direct Ownership Interest Sep 6, 2022 100%
Corporate Officer Sep 6, 2022 100%
Corporate DirectorCeo/Cfo/Sec/BM Sep 6, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Sec/BM Sep 6, 2022 100%
Diana G Shats Individual W-2 Managing EmployeeAd; Sep 6, 2022
Rycelonia T Case Individual W-2 Managing EmployeeAd;DPCS Feb 1, 2026

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1942929971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 LAUREL CANYON BLVD STE 103B",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072737",
            "telephone_number": "747-977-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 LAUREL CANYON BLVD STE 103B",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072737",
            "telephone_number": "747-977-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLS HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "KHEMCHYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-977-0658"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.