OrganizationActive
Formation Inc
NPI 1063988335 · Home Health Agency · Los Angeles, CA
Formation Inc is a Home Health Agency organization in Los Angeles, CA (NPI 1063988335).
Provider details
- NPI number
- 1063988335
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ian Vatan, Owner(310) 429-7110
Specialties & taxonomies
Agencies
- Nursing Care Agency251J00000X
Agencies
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1611 Westwood Blvd
Los Angeles, CA 90024
Phone: (310) 429-7110
Street-level locationGet directions
Mailing address
1611 Westwood Blvd
Los Angeles, CA 90024
Other names (DBA / former)
- Doing business as
- Formation Health Care Staffing
Registry dates
- Enumerated
- 2018-10-15
- Last updated
- 2018-10-15
Frequently asked questions
- What is Formation Inc's NPI number?
- Formation Inc's National Provider Identifier (NPI) is 1063988335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Formation Inc?
- Formation Inc is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Formation Inc located?
- Formation Inc's practice location on file with NPPES is 1611 Westwood Blvd, Los Angeles, CA 90024.
- What is Formation Inc's phone number?
- The practice phone number listed in the NPPES registry for Formation Inc is (310) 429-7110.
- Who is the authorized official for Formation Inc?
- The authorized official listed on Formation Inc's NPPES record is Ian Vatan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Formation Inc's NPI active?
- Yes — Formation Inc's NPI (1063988335) is active in the NPPES registry as of the last update on 2018-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.