Organization Active NPI

Euphoric Home Health

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1063010817
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EUPHORIC HOME HEALTH
Practice address
4119 W Burbank Blvd Ste 118
Burbank, CA 91505-2122
Phone
(818) 650-1528
NPI assigned
Oct 14, 2020
Organization subpart
Yes
Parent organization
GEVORGYAN INVESTMENTS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Emma Gevorgyan
Title
Ceo
Phone
(818) 650-1967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4119 W Burbank Blvd Ste 118
Burbank, CA 91505-2122

Mailing address

4119 W Burbank Blvd Ste 118
Burbank, CA 91505-2122
Phone (818) 650-1528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201224000007 CA Part A Provider - Home Health Agency 3577975135 Practice locations: Burbank, CA

Home health agency certification: CCN 757073

Legal name
EUPHORIC HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 16, 2022
Last certification
Jun 16, 2022
Organization structure
CorporationProprietary
Incorporated
Oct 5, 2020 in CA
Enrollment address
4119 W Burbank Blvd
Ste 118
Burbank, CA 91505-2122

Care Compare: Home health agency

Medicare Care Compare
Listed as
Euphoric Home HealthCCN 757073
Ownership
-
Certified
Jun 16, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4119 W Burbank Blvd
Ste 118
Burbank, CA 91505
Phone (818) 650-1528

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
Gevorgyan Investments Inc Organization, Glendale, CA Corporation 5% Or Greater Direct Ownership Interest Aug 31, 2020 100%
Emma Gevorgyan Individual 5% Or Greater Indirect Ownership Interest Oct 5, 2020 100%
Corporate OfficerCeo/President/Cfo/Secretary Oct 5, 2020
Corporate DirectorCeo/President/Cfo/Secretary Oct 5, 2020
W-2 Managing EmployeeCeo/President/Cfo/Secretary Oct 5, 2020

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1063010817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 W BURBANK BLVD STE 118",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052122",
            "telephone_number": "818-650-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W BURBANK BLVD STE 118",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052122",
            "telephone_number": "818-650-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUPHORIC HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEVORGYAN INVESTMENTS INC.",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-650-1967"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.