Organization Active NPI

White Light Home Health Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1033840756
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WHITE LIGHT HOME HEALTH INC
Practice address
1241 S Glendale Ave Ste 304a
Glendale, CA 91205-3386
Phone
(747) 777-9463
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Ara Martirosyan
Title
Ceo
Phone
(747) 777-9463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1241 S Glendale Ave Ste 304a
Glendale, CA 91205-3386

Mailing address

1241 S Glendale Ave Ste 304a
Glendale, CA 91205-3386
Phone (747) 777-9463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240401002218 CA Part A Provider - Home Health Agency 2062877707 Practice locations: Glendale, CA

Home health agency certification: CCN 758147

Legal name
WHITE LIGHT HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 30, 2025
Last certification
Sep 10, 2025
Organization structure
CorporationProprietary
Enrollment address
1241 S Glendale Ave
Ste 304a
Glendale, CA 91205-3386

Care Compare: Home health agency

Medicare Care Compare
Listed as
White Light Home Health IncCCN 758147
Ownership
-
Certified
Sep 30, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
Ara Martirosyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary Dec 23, 2024 100%
Corporate OfficerCeo/Cfo/Secretary Jan 21, 2022 100%
Corporate DirectorCeo/Cfo/Secretary Jan 21, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Jan 21, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1033840756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 304A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053386",
            "telephone_number": "747-777-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 304A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053386",
            "telephone_number": "747-777-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE LIGHT HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "MARTIROSYAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-777-9463"
    },
    "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

Verify at the official NPI Registry.