SIMPLE SOUL HOME HEALTH CARE, INC.
NPI 1053062125
Home Health in Van Nuys, CA

Active since January 11, 2022CLIA 05D2318493 · Waiver
14531 HAMLIN ST STE 290, VAN NUYS, CA 91411(747) 400-0130(747) 400-0114 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Simple Soul Home Health Care, Inc. NPPES

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

SIMPLE SOUL HOME HEALTH CARE, INC. (NPI 1053062125) is a healthcare organization registered as a home health in Van Nuys, California and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists David Shahbazyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053062125
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSIMPLE SOUL HOME HEALTH CARE, INC.
Location Address14531 HAMLIN ST STE 290Van Nuys, CA 91411-1627
Mailing Address14531 Hamlin St Ste 290Van Nuys, CA 91411-1627 · (747) 400-0130 · Fax (747) 400-0114
Fax(747) 400-0114
Organization SubpartNo
Authorized OfficialDavid ShahbazyanCeo · (747) 400-0130
Enumeration DateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
NPI 1053062125 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.
14531 HAMLIN ST STE 290, Van Nuys, CA 91411

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 05D2318493

Simple Soul Home Health Care, Inc · Van Nuys, CA
Active · expires Feb 10, 2027
CLIA Number05D2318493
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorSeda G. Panossian
Laboratory Phone(747) 400-0130
Laboratory LocationSimple Soul Home Health Care, Inc14531 Hamlin St Ste 290, Van Nuys, CA 91411
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 Simple Soul Home Health Care, Inc.'s NPI number?

The NPI number for Simple Soul Home Health Care, Inc. is 1053062125. It was assigned to this organization in the NPPES registry on January 11, 2022.

Where is Simple Soul Home Health Care, Inc. located?

Simple Soul Home Health Care, Inc. is located at 14531 Hamlin St Ste 290, Van Nuys, CA 91411. The listed phone number is (747) 400-0130.

What is Simple Soul Home Health Care, Inc.'s specialty?

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

Does Simple Soul Home Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2318493) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Simple Soul Home Health Care, Inc. was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.