Organization Active NPI

Comcare Home Health Agency, Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1053992479
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMCARE HOME HEALTH AGENCY, INC
Practice address
372 Arden Ave Ste 201a
Glendale, CA 91203-1129
Phone
(818) 457-9737
NPI assigned
Apr 16, 2021
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Lilit Natanyan
Title
Ceo
Phone
(818) 457-9737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

372 Arden Ave Ste 201a
Glendale, CA 91203-1129

Mailing address

372 Arden Ave Ste 201a
Glendale, CA 91203-1129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210517000618 CA Part A Provider - Home Health Agency 5597174896 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053992479. Details of each certification follow.

Home health agency certification: CCN 757077

Legal name
COMCARE HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2022
Last certification
Oct 20, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 22, 2021 in CA
Enrollment address
372 Arden Ave
Ste 201a
Glendale, CA 91203-1129

Care Compare: Home health agency

Medicare Care Compare
Listed as
Comcare Home Health Agency, Inc.CCN 757077 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 21, 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

372 Arden Ave
Ste 201A
Glendale, CA 91203
Phone (818) 457-9737

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lidia Zargari Individual 5% Or Greater Indirect Ownership InterestCeo/Board Member Nov 13, 2023 33.33%
Corporate OfficerCeo/Board Member Nov 13, 2023 33.33%
Corporate DirectorCeo/Board Member Nov 13, 2023 33.33%
W-2 Managing EmployeeCeo/ Board Member Nov 13, 2023 33.33%
Comcare Group Inc Organization, Glendale, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Feb 22, 2021 100%
Gevorg Avagyan Individual 5% Or Greater Indirect Ownership InterestCfo/Board Member Nov 13, 2023 33.33%
Corporate OfficerCfo/Board Member Nov 13, 2023 33.33%
Corporate DirectorCfo/Board Member Nov 13, 2023 33.33%
W-2 Managing EmployeeCfo/Board Member Nov 13, 2023 33.33%
Armen Saribegian Individual 5% Or Greater Indirect Ownership InterestSec/BM/Admin/Dopcs Nov 13, 2023 33.33%
Corporate OfficerSec/BM/Admin/Dopcs Nov 13, 2023
Corporate DirectorSec/BM/Admin/Dopcs Nov 13, 2023
W-2 Managing EmployeeSec/BM/Admin/Dopcs Nov 13, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1053992479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 ARDEN AVE STE 201A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 ARDEN AVE STE 201A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031129",
            "telephone_number": "818-457-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMCARE HOME HEALTH AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "NATANYAN",
        "authorized_official_first_name": "LILIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-457-9737"
    },
    "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.