Organization Active NPI

Pure Sunrise Home Health Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1043975287
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURE SUNRISE HOME HEALTH INC
Practice address
304B N Verdugo Rd
Glendale, CA 91206-3943
Phone
(800) 484-3554
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Arkadi Amirkhanyan
Title
Ceo
Phone
(800) 484-3554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

304B N Verdugo Rd
Glendale, CA 91206-3943

Mailing address

304B N Verdugo Rd
Glendale, CA 91206-3943
Phone (800) 484-3554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230814001153 CA Part A Provider - Home Health Agency 6002287422 Practice locations: Glendale, CA

Home health agency certification: CCN 757450

Legal name
PURE SUNRISE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 15, 2023
Last certification
Nov 10, 2023
Organization structure
CorporationProprietary
Incorporated
Oct 27, 2021 in CA
Enrollment address
304B N Verdugo Rd
Glendale, CA 91206-3943

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pure Sunrise Home Health IncCCN 757450
Overall star rating
2 of 5
Ownership
-
Certified
Nov 15, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

304B N Verdugo Rd
Glendale, CA 91206
Phone (800) 484-3554

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
Arkadi Amirkhanyan Individual 5% Or Greater Direct Ownership Interest Oct 27, 2021 100%
Corporate OfficerCeo/President/Cfo/Secretary Oct 27, 2021 100%
Corporate DirectorCeo/President/Cfo/Secretary Oct 27, 2021 100%
W-2 Managing EmployeeCeo/President/Cfo/Secretary Oct 27, 2021 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": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1043975287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304B N VERDUGO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063943",
            "telephone_number": "800-484-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304B N VERDUGO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063943",
            "telephone_number": "800-484-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SUNRISE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "AMIRKHANYAN",
        "authorized_official_first_name": "ARKADI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-484-3554"
    },
    "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.