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360 HOME HEALTH AGENCY
NPI 1104220623
Home Health in Canoga Park, CA

Active since October 13, 2014CLIA 05D2098037 · Waiver
5/5
Patient Care Rating
21133 VICTORY BLVD, SUITE 206, CANOGA PARK, CA 91303(818) 888-0100 Get Directions Write a Review

NPPES record last updated: December 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 360 Home Health Agency NPPES

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

360 HOME HEALTH AGENCY (NPI 1104220623) is a healthcare organization registered as a home health in Canoga Park, California and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Rafayel Nersisyan, President, as its authorized official.

NPPES Registry Identity

NPI1104220623
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business Name360 HOME HEALTH AGENCY
Location Address21133 VICTORY BLVD, SUITE 206Canoga Park, CA 91303-2829
Mailing Address20741 Dolorosa StWoodland Hills, CA 91367-6837 · (818) 888-0100
Phone(818) 888-0100
Organization SubpartNo
Authorized OfficialRafayel NersisyanPresident · (818) 888-0100
Enumeration DateOctober 13, 2014
Last NPPES UpdateDecember 14, 2014
✔ NPI 1104220623 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.
21133 VICTORY BLVD, Canoga Park, CA 91303
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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 05D2098037

360 Home Health Agency · Canoga Park, CA
Active · expires Jun 28, 2027
CLIA Number05D2098037
Laboratory TypeHome Health Agency
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorVictoria Borovsky
Laboratory Phone(818) 888-0100
Laboratory Location360 Home Health Agency21133 Victory Blvd Ste 206, Canoga Park, CA 91303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for 360 Home Health Agency (CMS certification number 059742), from CMS Care Compare.

360 Home Health Agency

Home health agency · Canoga Park, CA
5/5 Quality of Patient Care
OwnershipProprietary
CMS Certification Number059742
Medicare-Certified SinceAugust 17, 2016
Phone(818) 888-0100
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner
98.8%
Patients who got better at walking or moving around
95.4%
Patients who got better at getting in and out of bed
100%
Patients who got better at bathing
96.9%
Patients whose breathing improved
93.7%
Patients who got better at taking their drugs correctly by mouth
100%
Patients checked for a flu shot for the current season
92.3%
Physician-recommended actions on medication issues completed on time
99.7%
Patients with a functional assessment and care plan at admission and discharge
100%
Patients experiencing one or more falls with major injury
Lower rates are better for this measure.
0%
New or worsened pressure ulcers or injuries (skin integrity)
Lower rates are better for this measure.
0%
Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
291 of 334 patient episodes · observed rate 87.13%
96.47% Better Than National Rate
Potentially preventable hospital readmissions after discharge
41 patient stays · observed rate 12.2%
Lower rates are better for this measure.
4.24% Same As National Rate
Medicare spending per episode of care, relative to the national average
1.00 = national average per episode of care · based on 880 episodes
1.24
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXCELLENCE HOSPICE CARE.,INC.
Hospice Care, Community Based
21133 VICTORY BLVD, SUITE 215
CANOGA PARK, CA 91303
Los Angeles County (818) 468-5513

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 360 Home Health Agency's NPI number?

The NPI number for 360 Home Health Agency is 1104220623. It was assigned to this organization in the NPPES registry on October 13, 2014.

Where is 360 Home Health Agency located?

360 Home Health Agency is located at 21133 Victory Blvd Suite 206, Canoga Park, CA 91303. The listed phone number is (818) 888-0100.

What is 360 Home Health Agency's specialty?

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

Does 360 Home Health Agency hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2098037) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is 360 Home Health Agency a Medicare-certified home health agency?

Yes. 360 Home Health Agency is a Medicare-certified home health agency, certified since August 17, 2016.

What quality rating does 360 Home Health Agency have?

CMS rates 360 Home Health Agency 5 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for 360 Home Health Agency was last updated on December 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.