Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Formation Inc

Organization Home Health Agency · NPI 1063988335

Formation Inc is a Home Health Agency in Los Angeles, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1611 Westwood Blvd
Los Angeles, CA 90024
Phone: (310) 429-7110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Nursing Care Agency Taxonomy 251J00000X

Record details

NPI number1063988335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ian Vatan — Owner · (310) 429-7110
Other names Formation Health Care Staffing
NPI enumeratedOctober 15, 2018
Last updated in NPPESOctober 15, 2018
Mailing address1611 Westwood Blvd, Los Angeles, CA 90024

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