Organization Active NPI

May Light Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1992458574
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAY LIGHT HOME HEALTH, INC.
Practice address
14545 Friar St Ste 363
Van Nuys, CA 91411-2397
Phone
(818) 574-5005
Fax
(818) 574-5005
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Ms. Kristine Arutyunyan
Title
Ceo
Phone
(818) 574-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 363
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 363
Van Nuys, CA 91411-2397
Phone (818) 574-5005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230824000754 CA Part A Provider - Home Health Agency 5799148730 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757628

Legal name
MAY LIGHT HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 20, 2024
Last certification
May 16, 2024
Organization structure
CorporationProprietary
Incorporated
Jan 1, 2022 in CA
Enrollment address
14545 Friar St
Ste 363
Van Nuys, CA 91411-2397

Care Compare: Home health agency

Medicare Care Compare
Listed as
May Light Home Health, Inc.CCN 757628
Overall star rating
1.5 of 5
Ownership
-
Certified
May 20, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 363
Van Nuys, CA 91411
Phone (818) 574-5005

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 Arutyunyan Individual 5% Or Greater Direct Ownership Interest Jan 1, 2022 100%
Corporate OfficerCeo/President/Cfo Jan 1, 2022 100%
Corporate DirectorCeo/President/Cfo Jan 1, 2022 100%
W-2 Managing EmployeeCeo/President/Cfo Jan 1, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1992458574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 363",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-574-5005",
            "fax_number": "818-574-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 363",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-574-5005",
            "fax_number": "818-574-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAY LIGHT HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "ARUTYUNYAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-574-5005",
        "authorized_official_name_prefix": "Ms."
    },
    "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.