Organization Active NPI

Sylvan Health Services Inc

  • Home Health Agency
  • Valley Village, CA
National Provider Identifier
1962097030
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SYLVAN HEALTH SERVICES INC
Practice address
12722 Riverside Dr Ste 209
Valley Village, CA 91607-3356
Phone
(747) 254-2424
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Natali Sahakyan
Title
Ceo
Phone
(747) 254-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12722 Riverside Dr Ste 209
Valley Village, CA 91607-3356

Mailing address

12722 Riverside Dr Ste 209
Valley Village, CA 91607-3356
Phone (747) 254-2424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210406001272 CA Part A Provider - Home Health Agency 6709293970 Practice locations: Valley Village, CA

Home health agency certification: CCN 753137

Legal name
SYLVAN HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 17, 2022
Last certification
Jun 8, 2022
Organization structure
CorporationProprietary
Incorporated
Feb 24, 2021 in CA
Enrollment address
12722 Riverside Dr
Ste 209
Valley Village, CA 91607-3356

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sylvan Health Services IncCCN 753137 · All quality measures
Ownership
-
Certified
Jun 17, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Natali Sahakyan Individual 5% Or Greater Direct Ownership Interest Apr 24, 2021 100%
Corporate OfficerCeo/Cfo Apr 24, 2021 100%
Corporate DirectorDPCS/Administrator Apr 24, 2021 100%
W-2 Managing EmployeeCeo/Cfo Apr 24, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1962097030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12722 RIVERSIDE DR STE 209",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073356",
            "telephone_number": "747-254-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12722 RIVERSIDE DR STE 209",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073356",
            "telephone_number": "747-254-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVAN HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "SAHAKYAN",
        "authorized_official_first_name": "NATALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-254-2424"
    },
    "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.