Active NPI
Avl Home Health Care, Inc
- Home Health Agency
- Canoga Park, CA
National Provider Identifier
1982338497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 19801 Vanowen St
Unit A1
Canoga Park, CA 91306-3955
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Viktoriia Golovina | 5% Or Greater Direct Ownership Interest | Dec 16, 2021 | 100% |
| Corporate Officer | Dec 16, 2021 | 100% | |
| Corporate Director | Dec 16, 2021 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.