Organization Active NPI

Nova Med Home Health

  • Home Health Agency
  • Montrose, CA
National Provider Identifier
1992315360
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NOVA MED HOME HEALTH
Practice address
2550 Honolulu Ave Ste 102
Montrose, CA 91020-1859
Phone
(818) 383-8042
Fax
(818) 484-2344
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Elen Hunanyan
Title
Ceo
Phone
(818) 383-8042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2550 Honolulu Ave Ste 102
Montrose, CA 91020-1859

Mailing address

2550 Honolulu Ave Ste 102
Montrose, CA 91020-1859
Phone (818) 383-8042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201007000560 CA Part A Provider - Home Health Agency 2466871660 Practice locations: Montrose, CA

Home health agency certification: CCN 559483

Legal name
NOVA MED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 3, 2021
Last certification
Aug 3, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 21, 2020 in CA
Enrollment address
2550 Honolulu Ave
Ste 102
Montrose, CA 91020-1859

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nova Med Home HealthCCN 559483
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Aug 3, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

6470 Foothill Blvd
Ste B
Tujunga, CA 91042
Phone (818) 383-8042

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
Elen Hunanyan Individual 5% Or Greater Direct Ownership Interest Jul 22, 2020 100%
Corporate Officer Jul 22, 2020 100%
Corporate DirectorBoard Member Jul 22, 2020 100%
W-2 Managing Employee Mar 9, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1992315360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 HONOLULU AVE STE 102",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201859",
            "telephone_number": "818-383-8042",
            "fax_number": "818-484-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HONOLULU AVE STE 102",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201859",
            "telephone_number": "818-383-8042",
            "fax_number": "818-484-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MED HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "HUNANYAN",
        "authorized_official_first_name": "ELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-383-8042"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

Verify at the official NPI Registry.