ANTELOPE VALLEY HOME HEALTH AGENCY INC.
NPI 1013530112
Home Health in Palmdale, CA

Active since May 22, 2020CLIA 05D2297229 · Waiver
445 W PALMDALE BLVD STE L, PALMDALE, CA 93551(661) 407-2520(661) 480-5090 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Antelope Valley Home Health Agency Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTELOPE VALLEY HOME HEALTH AGENCY INC. (NPI 1013530112) is a healthcare organization registered as a home health in Palmdale, California and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Janna Ponomarenko, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013530112
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameANTELOPE VALLEY HOME HEALTH AGENCY INC.
Location Address445 W PALMDALE BLVD STE LPalmdale, CA 93551-4509
Mailing Address445 W Palmdale Blvd Ste LPalmdale, CA 93551-4509 · (661) 407-2520 · Fax (661) 480-5090
Fax(661) 480-5090
Organization SubpartNo
Authorized OfficialJanna PonomarenkoCeo · (661) 407-2520
Enumeration DateMay 22, 2020
NPPES CertifiedMay 22, 2020
NPI 1013530112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

445 W PALMDALE BLVD STE L, Palmdale, CA 93551

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2297229

Antelope Valley Home Health Agency Inc · Palmdale, CA
Active · expires Jan 10, 2028
CLIA Number05D2297229
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorMakovoz Galina
Laboratory Phone(661) 407-2520
Laboratory LocationAntelope Valley Home Health Agency Inc445 W Palmdale Blvd Ste L, Palmdale, CA 93551
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antelope Valley Home Health Agency Inc.'s NPI number?

The NPI number for Antelope Valley Home Health Agency Inc. is 1013530112. It was assigned to this organization in the NPPES registry on May 22, 2020.

Where is Antelope Valley Home Health Agency Inc. located?

Antelope Valley Home Health Agency Inc. is located at 445 W Palmdale Blvd Ste L, Palmdale, CA 93551. The listed phone number is (661) 407-2520.

What is Antelope Valley Home Health Agency Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Antelope Valley Home Health Agency Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2297229) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Antelope Valley Home Health Agency Inc. was last updated on May 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.