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MEDLINE HOME HEALTH CARE,INC.
NPI 1205293875
Home Health in Van Nuys, CA

Active since January 27, 2016CLIA 05D2155417 · Waiver
5605 WOODMAN AVE STE 203, VAN NUYS, CA 91401(818) 523-2824 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medline Home Health Care,inc. NPPES

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

MEDLINE HOME HEALTH CARE,INC. (NPI 1205293875) is a healthcare organization registered as a home health in Van Nuys, California and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Anait Davtyan, President, as its authorized official.

NPPES Registry Identity

NPI1205293875
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMEDLINE HOME HEALTH CARE,INC.
Location Address5605 WOODMAN AVE STE 203Van Nuys, CA 91401-4703
Mailing Address5605 Woodman Ave Ste 203Van Nuys, CA 91401-4703 · (818) 523-2824
Phone(818) 523-2824
Organization SubpartNo
Authorized OfficialAnait DavtyanPresident · (818) 523-2824
Enumeration DateJanuary 27, 2016
✔ NPI 1205293875 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.
5605 WOODMAN AVE STE 203, Van Nuys, CA 91401
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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 05D2155417

Medline Home Health Care, Inc · Van Nuys, CA
Active · expires Sep 27, 2026
CLIA Number05D2155417
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorRobert Ladines
Laboratory Phone(818) 787-8781
Laboratory LocationMedline Home Health Care, Inc5605 Woodman Avenue Suite 203, Van Nuys, CA 91401
CLIA data matches this NPI record on: Address Name
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 Medline Home Health Care,inc.'s NPI number?

The NPI number for Medline Home Health Care,inc. is 1205293875. It was assigned to this organization in the NPPES registry on January 27, 2016.

Where is Medline Home Health Care,inc. located?

Medline Home Health Care,inc. is located at 5605 Woodman Ave Ste 203, Van Nuys, CA 91401. The listed phone number is (818) 523-2824.

What is Medline Home Health Care,inc.'s specialty?

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

Does Medline Home Health Care,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2155417) is associated with this NPI, valid through September 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medline Home Health Care,inc. was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.