Healthcare Provider Details

I. General information

NPI: 1366282105
Provider Name (Legal Business Name): WEST VALLEY HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21243 VENTURA BLVD STE 210
WOODLAND HILLS CA
91364-2125
US

IV. Provider business mailing address

21243 VENTURA BLVD STE 210
WOODLAND HILLS CA
91364-2125
US

V. Phone/Fax

Practice location:
  • Phone: 818-522-8914
  • Fax:
Mailing address:
  • Phone: 818-522-8914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VACHE KIRAKOSYAN
Title or Position: CEO
Credential:
Phone: 818-648-0006