Organization Active NPI

Progress Home Health Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1114352903
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROGRESS HOME HEALTH INC
Practice address
919 1/2 E Broadway
Ste 206
Glendale, CA 91205-1252
Phone
(818) 484-5868
Fax
(818) 484-8999
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Mr. Gagik Gharagyozyan
Title
President
Phone
(818) 484-5868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

919 1/2 E Broadway
Ste 206
Glendale, CA 91205-1252

Mailing address

919 1/2 E Broadway
Ste 206
Glendale, CA 91205-1252
Phone (818) 484-5868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131002000000 CA Part A Provider - Home Health Agency 1951535186 Practice locations: Glendale, CA

Home health agency certification: CCN 059669

Legal name
PROGRESS HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 23, 2015
Last certification
Sep 3, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 29, 2013 in CA
Enrollment address
919 1/2 E Broadway
Ste 206
Glendale, CA 91205-1252

Care Compare: Home health agency

Medicare Care Compare
Listed as
Progress Home Health, IncCCN 059669
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 23, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2074040Progress Home Health, Inc919 1/2 E Broadway Ste 206, Glendale, CA 91205Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

Locations

919 E Broadway
#1-2
Glendale, CA 91205
Phone (818) 484-5868

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
Clodiya Taroian Individual Corporate Director Sep 2, 2013
W-2 Managing EmployeeDopcs/Administrator Sep 2, 2013
Gagik Gharagyozyan Individual 5% Or Greater Direct Ownership InterestPresident Jul 29, 2013 100%
Corporate DirectorPresident Jul 29, 2013 100%
W-2 Managing EmployeePresident/Dopcs/Adm. Designee Jul 29, 2013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1114352903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 1/2 E BROADWAY",
            "address_2": "STE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051252",
            "telephone_number": "818-484-5868",
            "fax_number": "818-484-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 1/2 E BROADWAY",
            "address_2": "STE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051252",
            "telephone_number": "818-484-5868",
            "fax_number": "818-484-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "GHARAGYOZYAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-484-5868",
        "authorized_official_name_prefix": "Mr."
    },
    "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.