Active NPI
Daisy Home Health
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1013687151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DAISY HOME HEALTH
- Practice address
- 1480 Colorado Blvd Ste 270
Los Angeles, CA 90041-2283 - Phone
- (323) 999-7205
- Fax
- (323) 999-7207
- NPI assigned
- Sep 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Merri Bablumyan
- Title
- Ceo
- Phone
- (323) 999-7205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1480 Colorado Blvd Ste 270
Los Angeles, CA 90041-2283
Mailing address
1480 Colorado Blvd Ste 270
Los Angeles, CA 90041-2283
Phone (323) 999-7205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230320002336 | CA | Part A Provider - Home Health Agency | 2062886740 | Practice locations: Glendale, CA |
Home health agency certification: CCN 757488
- Legal name
- DAISY HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 7, 2023
- Last certification
- Dec 7, 2023
- Organization structure
- Corporation
- Incorporated
- Jul 21, 2021 in CA
- Enrollment address
- 204 E Chevy Chase Dr
Ste 5
Glendale, CA 91205-3178
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Daisy Home Health
- Overall star rating
- Ownership
- -
- Certified
- Dec 7, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2313110 | Daisy Home Health | Certificate of waiver | Oct 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
1480 Colorado Blvd
Ste 270
Los Angeles, CA 90041
Phone (323) 999-7205
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Merri Bablumyan | 5% Or Greater Direct Ownership Interest | Jul 21, 2021 | 100% |
| Corporate Officer | Jul 21, 2021 | 100% | |
| Corporate Director | Jul 21, 2021 | 100% | |
| W-2 Managing Employee | Jul 21, 2021 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632096000000",
"number": "1013687151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 COLORADO BLVD STE 270",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900412283",
"telephone_number": "323-999-7205",
"fax_number": "323-999-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 COLORADO BLVD STE 270",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900412283",
"telephone_number": "323-999-7205",
"fax_number": "323-999-7207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAISY HOME HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A",
"authorized_official_last_name": "BABLUMYAN",
"authorized_official_first_name": "MERRI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-999-7205"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.