Organization Active NPI

Verdugo Home Health, Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1003029703
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VERDUGO HOME HEALTH, INC
Practice address
4170 Verdugo Rd
Los Angeles, CA 90065-3821
Phone
(818) 434-7436
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robina Krikorian
Title
Ceo
Phone
(323) 257-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4170 Verdugo Rd
Los Angeles, CA 90065-3821

Mailing address

4170 Verdugo Rd
Los Angeles, CA 90065-3821
Phone (323) 257-5115

Other identifiers 1

IdentifierTypeStateIssuer
059166MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000702 CA Part A Provider - Home Health Agency 3870691868 Practice locations: Los Angeles, CA

Home health agency certification: CCN 059166

Legal name
VERDUGO HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 12, 2010
Last certification
Dec 13, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 4, 2007 in CA
Enrollment address
4170 Verdugo Rd
# C
Los Angeles, CA 90065-3821
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Verdugo Home Health, IncCCN 059166 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Feb 12, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1098779Verdugo Home Health, Inc4170 Verdugo Road, Suite C, Los Angeles, CA 90065Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory

Locations

4170 Verdugo Rd
Los Angeles, CA 90065
Phone (323) 255-8093

4170 Verdugo Rd
#C
Los Angeles, CA 90065
Phone (323) 257-5115

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lousine Budalian Individual W-2 Managing EmployeeDirector of Patient Care Services May 1, 2024
Robina Krikorian Individual 5% Or Greater Direct Ownership InterestOwner Dec 17, 2016 100%
Corporate OfficerBoard Member Dec 17, 2016 100%
Corporate DirectorAdministrator Dec 17, 2016 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1003029703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653821",
            "telephone_number": "323-257-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653821",
            "telephone_number": "818-434-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUGO HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "KRIKORIAN",
        "authorized_official_first_name": "ROBINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-257-5115"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059166",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.