Organization Active NPI

Great Life Home Health Care Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1033828652
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GREAT LIFE HOME HEALTH CARE INC.
Practice address
127 S Brand Blvd Ste 312a
Glendale, CA 91204-1342
Phone
(213) 709-8882
NPI assigned
Nov 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Ms. Armine Avetisyan
Title
Ceo/Cfo
Phone
(213) 709-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

127 S Brand Blvd Ste 312a
Glendale, CA 91204-1342

Mailing address

127 S Brand Blvd Ste 312a
Glendale, CA 91204-1342

National Provider Directory

National Provider Directory

Locations

127 S Brand Blvd
Ste 312A
Glendale, CA 91204
Phone (213) 709-8880

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1033828652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 312A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 312A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041342",
            "telephone_number": "213-709-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LIFE HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "ARMINE",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "213-709-8882",
        "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 Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.