Organization Active NPI

Adonai Home Health Care Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1053912436
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 12, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 757546 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Feb 7, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Hakop Gevorgyan Individual 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.

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

Sources for this page

Verify at the official NPI Registry.