Organization Active NPI

Daisy Home Health

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1013687151
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 20, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HealthCCN 757488
Overall star rating
3 of 5
Ownership
-
Certified
Dec 7, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2313110Daisy Home Health204 E Chevy Chase Dr Ste 5, Glendale, CA 91205Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Merri Bablumyan Individual 5% Or Greater Direct Ownership InterestCeo Jul 21, 2021 100%
Corporate OfficerCeo Jul 21, 2021 100%
Corporate DirectorCeo Jul 21, 2021 100%
W-2 Managing EmployeeCeo 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

Verify at the official NPI Registry.