Organization Active NPI

Prazyan Home Health

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1992453062
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRAZYAN HOME HEALTH
Practice address
5605 Woodman Ave Ste 210
Van Nuys, CA 91401-9100
Phone
(747) 264-9807
Fax
(747) 877-2175
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Kristine Prazyan
Title
Ceo,Cfo,Secretary
Phone
(747) 264-9807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5605 Woodman Ave Ste 210
Van Nuys, CA 91401-9100

Mailing address

5605 Woodman Ave Ste 210
Van Nuys, CA 91401-9100
Phone (747) 264-9807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240503000014 CA Part A Provider - Home Health Agency 7810337177 Practice locations: Van Nuys, CA

Home health agency certification: CCN 758016

Legal name
PRAZYAN HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 6, 2025
Last certification
Jun 5, 2025
Organization structure
CorporationProprietary
Incorporated
Jan 13, 2022 in CA
Enrollment address
5605 Woodman Ave
Ste 210
Van Nuys, CA 91401-9100

Care Compare: Home health agency

Medicare Care Compare
Listed as
Prazyan Home HealthCCN 758016
Ownership
-
Certified
Jun 6, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5605 Woodman Ave
Ste 210
Van Nuys, CA 91401
Phone (747) 264-9807

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
Kristine Prazyan Individual 5% Or Greater Direct Ownership InterestOwner, Ceo, Cfo, Secretary Jan 13, 2022 100%
Corporate OfficerOwner, Ceo, Cfo, Secretary Jan 13, 2022 100%
Corporate DirectorOwner, Ceo, Cfo, Secretary Jan 13, 2022 100%
W-2 Managing EmployeeOwner, Ceo, Cfo, Secretary Jan 13, 2022 100%
Operational/Managerial ControlOwner, Ceo, Cfo, Secretary Jan 13, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1992453062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 WOODMAN AVE STE 210",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914019100",
            "telephone_number": "747-264-9807",
            "fax_number": "747-877-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 WOODMAN AVE STE 210",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914019100",
            "telephone_number": "747-264-9807",
            "fax_number": "747-877-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAZYAN HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "PRAZYAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CEO,CFO,SECRETARY",
        "authorized_official_telephone_number": "747-264-9807"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.