Lily Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LILY HOME HEALTH SERVICES

Practice address

121 W Lexington Dr Ste 602
Glendale, CA 91203-2230

Phone

(818) 531-8152

Fax

(818) 531-8152

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Violeta Kirakosyan

Title

Ceo

Phone

(818) 531-8152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757577

Legal name

LILY HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 2, 2024

Last certification

Feb 2, 2024

Organization structure

CorporationProprietary

Incorporated

Oct 22, 2021 in CA

Enrollment address

121 W Lexington Dr
Ste B180C
Glendale, CA 91203-2230

Listed as

Lily Home Health ServicesCCN 757577 · All quality measures

Overall star rating

1.5 of 5

Ownership

-

Certified

Feb 2, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774137600000",
    "number": "1053064493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE 602",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032230",
            "telephone_number": "818-531-8152",
            "fax_number": "818-531-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE 602",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032230",
            "telephone_number": "818-531-8152",
            "fax_number": "818-531-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "KIRAKOSYAN",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-531-8152"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James M Lilley, M.D.
• Lily Garden Health Services
• Sandy Lim Chun
• Lim L Taw Medical Corporation
• Bernadette Anne Lim, D.O.
• Curtis Lim
• Fred T Lim, MD

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; 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.

Verify at the official NPI Registry.