Organization Active NPI

Avl Home Health Care, Inc

  • Home Health Agency
  • Canoga Park, CA
National Provider Identifier
1982338497
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVL HOME HEALTH CARE, INC
Practice address
19801 Vanowen St Ste A1
Canoga Park, CA 91306-3955
Phone
(747) 666-0138
Fax
(747) 666-0130
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Viktoriia Golovina
Title
Ceo
Phone
(747) 666-0138

Specialties & licenses 1

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

Addresses

Primary practice location

19801 Vanowen St Ste A1
Canoga Park, CA 91306-3955

Mailing address

19801 Vanowen St Ste A1
Canoga Park, CA 91306-3955
Phone (747) 666-0138

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240628000371 CA Part A Provider - Home Health Agency 5991249161 Practice locations: Canoga Park, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982338497. Details of each certification follow.

Home health agency certification: CCN 758229

Legal name
AVL HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 14, 2025
Last certification
Mar 6, 2025
Organization structure
CorporationProprietary
Enrollment address
19801 Vanowen St
Unit A1
Canoga Park, CA 91306-3955

National Provider Directory

National Provider Directory

Locations

19801 Vanowen St
Ste A1
Winnetka, CA 91306
Phone (747) 666-0138

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
Viktoriia Golovina Individual 5% Or Greater Direct Ownership InterestCeo Dec 16, 2021 100%
Corporate OfficerCeo Dec 16, 2021 100%
Corporate DirectorCeo Dec 16, 2021 100%
W-2 Managing EmployeeCeo Dec 16, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1982338497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 VANOWEN ST STE A1",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913063955",
            "telephone_number": "747-666-0138",
            "fax_number": "747-666-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 VANOWEN ST STE A1",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913063955",
            "telephone_number": "747-666-0138",
            "fax_number": "747-666-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVL HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "GOLOVINA",
        "authorized_official_first_name": "VIKTORIIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-666-0138"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.