Organization Active NPI

Auxilium Home Health Inc

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1023609609
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AUXILIUM HOME HEALTH INC
Practice address
2525 E Colorado Blvd Ste 106
Pasadena, CA 91107-3771
Phone
(626) 376-9271
Fax
(626) 376-9272
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Ms. Tetiana Shirakian
Title
Ceo
Phone
(626) 376-9271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2525 E Colorado Blvd Ste 106
Pasadena, CA 91107-3771

Mailing address

2525 E Colorado Blvd Ste 106
Pasadena, CA 91107-3771
Phone (626) 376-9271

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230608000353 CA Part A Provider - Home Health Agency 0941667810 Practice locations: Pasadena, CA

Home health agency certification: CCN 757601

Legal name
AUXILIUM HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 2023
Last certification
Dec 8, 2023
Organization structure
CorporationProprietary
Incorporated
Oct 8, 2020 in CA
Enrollment address
2525 E Colorado Blvd
Ste 106
Pasadena, CA 91107-3771

Care Compare: Home health agency

Medicare Care Compare
Listed as
Auxilium Home Health IncCCN 757601
Ownership
-
Certified
Dec 12, 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
05D2279160Auxilium Home Health, Inc.2525 E Colorado Blvd Ste 106, Pasadena, CA 91107Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

2525 E Colorado Blvd
Ste 106
Pasadena, CA 91107
Phone (626) 376-9271

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
Narine Beglaryan Individual Corporate DirectorDirector of Patient Care Services Dec 1, 2020
W-2 Managing EmployeeRN Dec 1, 2020
Operational/Managerial ControlAdministrator Dec 1, 2020
Tetiana Shirakian Individual 5% Or Greater Direct Ownership InterestCeo Oct 8, 2020 100%
Corporate OfficerCeo Oct 8, 2020 100%
W-2 Managing EmployeeCeo, Secretary, Cfo Oct 8, 2020 100%
Operational/Managerial ControlCeo, Secretary, Cfo Oct 8, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1023609609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E COLORADO BLVD STE 106",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073771",
            "telephone_number": "626-376-9271",
            "fax_number": "626-376-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E COLORADO BLVD STE 106",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073771",
            "telephone_number": "626-376-9271",
            "fax_number": "626-376-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUXILIUM HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "SHIRAKIAN",
        "authorized_official_first_name": "TETIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-376-9271",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.