Active NPI
Adonai Home Health Care Inc
- Home Health Agency
- Glendale, CA
National Provider Identifier
1053912436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ADONAI HOME HEALTH CARE INC
- Practice address
- 356 W Colorado St Ste a
Glendale, CA 91204-1603 - Phone
- (818) 480-6526
- Fax
- (818) 688-3806
- NPI assigned
- Nov 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hakop Jack Gevorgyan
- Title
- Ceo
- Phone
- (818) 480-6526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
356 W Colorado St Ste a
Glendale, CA 91204-1603
Mailing address
356 W Colorado St Ste a
Glendale, CA 91204-1603
Phone (818) 480-6526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230606000365 | CA | Part A Provider - Home Health Agency | 4385001494 | Practice locations: Glendale, CA |
Home health agency certification: CCN 757546
- Legal name
- ADONAI HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 7, 2024
- Last certification
- Feb 7, 2024
- Organization structure
- Corporation
- Enrollment address
- 356 W Colorado St
Ste a
Glendale, CA 91204-1603
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Adonai Home Health Care Inc
- Overall star rating
- Ownership
- -
- Certified
- Feb 7, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
121 W Lexington Dr
Ste L300E
Glendale, CA 91203
Phone (818) 480-6526
356 W Colorado St
#A
Glendale, CA 91204
Phone (818) 548-2684
1010 N Central Ave
#410
Glendale, CA 91202
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Hakop Gevorgyan | 5% Or Greater Direct Ownership Interest | Aug 4, 2020 | 100% |
| Corporate Officer | Aug 4, 2020 | ||
| Corporate Director | Aug 4, 2020 | ||
| W-2 Managing Employee | Aug 4, 2020 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Interventional Cardiology Physician
- Sacramento, CA
- NPI 1932239837
Home health agency
-
- General Practice Physician
- Long Beach, CA
- NPI 1063571834
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1053912436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 W COLORADO ST STE A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041603",
"telephone_number": "818-480-6526",
"fax_number": "818-688-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 W COLORADO ST STE A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041603",
"telephone_number": "818-480-6526",
"fax_number": "818-688-3806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADONAI HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-03",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "GEVORGYAN",
"authorized_official_first_name": "HAKOP",
"authorized_official_middle_name": "JACK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-480-6526"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Joseph Anthony Addiego, DPM
- Chelsea Addy, NP
- Laura Adhikari, CRNA
- Nataliya Adjian, RPT
- Adjusted Life Chiropractic, Dr. Kristy Zinnes, Inc
- Adrine Yadegarian, M.D., a Medical Corporation
- Adult Care Home Health Agency Inc.
- Advance Care Home Health Agency Inc
- Advance Hospice Care, Inc.
- Advance Therapy Physical Therapy Clinic, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.