Active NPI
Auxilium Home Health Inc
- Home Health Agency
- Pasadena, CA
National Provider Identifier
1023609609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- -
- Certified
- Dec 12, 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 |
|---|---|---|---|
| 05D2279160 | Auxilium Home Health, Inc. | Certificate of waiver | Mar 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Narine Beglaryan | Corporate Director | Dec 1, 2020 | |
| W-2 Managing Employee | Dec 1, 2020 | ||
| Operational/Managerial Control | Dec 1, 2020 | ||
| Tetiana Shirakian | 5% Or Greater Direct Ownership Interest | Oct 8, 2020 | 100% |
| Corporate Officer | Oct 8, 2020 | 100% | |
| W-2 Managing Employee | Oct 8, 2020 | 100% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.