HOLY LIGHT HOME HEALTH, INC.
NPI 1205417466
Hospice Care, Community Based in Van Nuys, CA

Active since April 19, 2021CLIA 05D2314596 · Waiver
14545 FRIAR ST STE 362, VAN NUYS, CA 91411(818) 345-9069 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 18, 2021, Apr 20, 2021 (2 updates tracked since 2021).

About Holy Light Home Health, Inc. NPPES

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

HOLY LIGHT HOME HEALTH, INC. (NPI 1205417466) is a healthcare organization registered as a hospice care, community based in Van Nuys, California and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through November 21, 2026 and lists Kristine Arutyunyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205417466
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameHOLY LIGHT HOME HEALTH, INC.
Location Address14545 FRIAR ST STE 362Van Nuys, CA 91411-2397
Mailing Address14545 Friar St Ste 362Van Nuys, CA 91411-2397 · (818) 345-9069
Organization SubpartYesParent: Anndrelex Management, Inc.
Authorized OfficialKristine ArutyunyanCeo · (818) 345-9069
Enumeration DateApril 19, 2021
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
NPI 1205417466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
14545 FRIAR ST STE 362, 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 05D2314596

Holy Light Home Health, Inc · Burbank, CA
Active · expires Nov 21, 2026
CLIA Number05D2314596
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorSieghart Ponhold
Laboratory Phone(818) 345-9069
Laboratory LocationHoly Light Home Health, Inc300 N 3rd St Ste 302, Burbank, CA 91502
CLIA data matches this NPI record on: 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 Holy Light Home Health, Inc. (CMS certification number 757300), from CMS Care Compare.

Holy Light Home Health, Inc.

Home health agency · Van Nuys, CA
CMS Certification Number757300
Medicare-Certified SinceMay 23, 2023

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 Holy Light Home Health, Inc.'s NPI number?

The NPI number for Holy Light Home Health, Inc. is 1205417466. It was assigned to this organization in the NPPES registry on April 19, 2021.

Where is Holy Light Home Health, Inc. located?

Holy Light Home Health, Inc. is located at 14545 Friar St Ste 362, Van Nuys, CA 91411. The listed phone number is (818) 345-9069.

What is Holy Light Home Health, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Holy Light Home Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2314596) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Holy Light Home Health, Inc. a Medicare-certified home health agency?

Yes. Holy Light Home Health, Inc. is a Medicare-certified home health agency, certified since May 23, 2023.

When was this NPI record last updated?

The NPPES record for Holy Light Home Health, Inc. was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.