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PROVIDA HOME HEALTH, INC.
NPI 1225520109
Home Health in Van Nuys, CA

Active since June 05, 2018CLIA 05D2322674 · Waiver
14545 VICTORY BLVD STE 418, VAN NUYS, CA 91411(818) 653-5454 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Provida Home Health, Inc. NPPES

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

PROVIDA HOME HEALTH, INC. (NPI 1225520109) is a healthcare organization registered as a home health in Van Nuys, California and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Mery Balayan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225520109
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePROVIDA HOME HEALTH, INC.
Location Address14545 VICTORY BLVD STE 418Van Nuys, CA 91411-4182
Mailing Address14545 Victory Blvd Ste 418Van Nuys, CA 91411-4182
Phone(818) 653-5454
Organization SubpartNo
Authorized OfficialMery BalayanCeo · (818) 653-5454
Enumeration DateJune 5, 2018
Last NPPES UpdateNovember 7, 2024
NPPES CertifiedNovember 7, 2024
✔ NPI 1225520109 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.
14545 VICTORY BLVD STE 418, Van Nuys, CA 91411
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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 05D2322674

Provida Home Health, Inc · Van Nuys, CA
Active · expires Apr 23, 2027
CLIA Number05D2322674
Laboratory TypeCommunity Mental Health
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorSahag Arslanian
Laboratory Phone(818) 528-8798
Laboratory LocationProvida Home Health, Inc14545 Victory Blvd, Ste 418, Van Nuys, CA 91411
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 Provida Home Health, Inc.'s NPI number?

The NPI number for Provida Home Health, Inc. is 1225520109. It was assigned to this organization in the NPPES registry on June 5, 2018.

Where is Provida Home Health, Inc. located?

Provida Home Health, Inc. is located at 14545 Victory Blvd Ste 418, Van Nuys, CA 91411. The listed phone number is (818) 653-5454.

What is Provida Home Health, Inc.'s specialty?

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

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

Yes. A Certificate of Waiver (number 05D2322674) is associated with this NPI, valid through April 23, 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 Provida Home Health, Inc. was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.