Green Light Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREEN LIGHT HOME HEALTH INC.

Practice address

6850 Van Nuys Blvd Ste 311
Van Nuys, CA 91405-4629

Phone

(818) 616-3568

NPI assigned

Mar 30, 2018

Organization subpart

No

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

Authorized official

Name

Samvel Hakobyan

Title

Ceo

Phone

(818) 616-3568

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559158

Legal name

GREEN LIGHT HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 23, 2020

Last certification

Jan 23, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

6850 Van Nuys Blvd
Ste 311
Van Nuys, CA 91405-4629

Listed as

Green Light Home Health, IncCCN 559158

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Jan 23, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1952807901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 VAN NUYS BLVD STE 311",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 VAN NUYS BLVD STE 311",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054629",
            "telephone_number": "818-616-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LIGHT HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "SAMVEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-616-3568"
    },
    "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 Van Nuys, CA
• Providers in Van Nuys, 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 Mar 30, 2018; 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.