Organization Active NPI

Pure Heart Home Health Services, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1053903989
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURE HEART HOME HEALTH SERVICES, INC.
Practice address
4119 W Burbank Blvd Ste 130
Burbank, CA 91505-2122
Phone
(818) 275-4447
NPI assigned
Feb 11, 2021
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Gevork ArutinyanNPI 1821814435
Title
Ceo
Phone
(818) 275-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4119 W Burbank Blvd Ste 130
Burbank, CA 91505-2122

Mailing address

4119 W Burbank Blvd Ste 130
Burbank, CA 91505-2122
Phone (818) 275-4447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210311001742 CA Part A Provider - Home Health Agency 2860808177 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053903989. Details of each certification follow.

Home health agency certification: CCN 757111

Legal name
PURE HEART HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 14, 2022
Last certification
Sep 14, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 23, 2021 in CA
Enrollment address
4119 W Burbank Blvd
Ste 130
Burbank, CA 91505-2122

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pure Heart Home Health Services, Inc.CCN 757111 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 14, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

4119 W Burbank Blvd
Ste 130
Burbank, CA 91505
Phone (818) 275-4447

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.

NameRoleSinceShare
Gevork Arutinyan Individual 5% Or Greater Direct Ownership Interest Jan 23, 2021 50%
Corporate OfficerCeo/President/Board Member/50% O Jan 23, 2021 50%
Corporate DirectorCeo/President/Board Member/50% O Jan 23, 2021 50%
W-2 Managing EmployeeCeo/President/Board Member/50% O Jan 23, 2021 50%
Minas Daldalyan Individual 5% Or Greater Direct Ownership Interest Jan 23, 2021 50%
Corporate OfficerCfo/Secretary/Board Member/50% O Jan 23, 2021 50%
Corporate DirectorCfo/Secretary/Board Member/50% O Jan 23, 2021 50%
W-2 Managing EmployeeCfo/Secretary/Board Member/50% O Jan 23, 2021 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1053903989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 W BURBANK BLVD STE 130",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052122",
            "telephone_number": "818-275-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W BURBANK BLVD STE 130",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052122",
            "telephone_number": "818-275-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEART HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "ARUTINYAN",
        "authorized_official_first_name": "GEVORK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-275-4447"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.