Organization Active NPI

Holy Haven Home Health

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1942956453
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOLY HAVEN HOME HEALTH
Practice address
9003 Reseda Blvd Ste 202B
Northridge, CA 91324-3920
Phone
(818) 433-4917
Fax
(818) 435-3252
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Lilit Mirakian, RN
Title
Ceo
Phone
(818) 433-4917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9003 Reseda Blvd Ste 202B
Northridge, CA 91324-3920

Mailing address

9003 Reseda Blvd Ste 202B
Northridge, CA 91324-3920
Phone (818) 433-4917

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1942956453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 RESEDA BLVD STE 202B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243920",
            "telephone_number": "818-433-4917",
            "fax_number": "818-435-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 RESEDA BLVD STE 202B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243920",
            "telephone_number": "818-433-4917",
            "fax_number": "818-435-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY HAVEN HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MIRAKIAN",
        "authorized_official_first_name": "LILIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-433-4917",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.