Organization Active NPI

Wellness Healthcare, Inc.

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1114441300
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELLNESS HEALTHCARE, INC.
Practice address
869 E Foothill Blvd Ste I-a
Upland, CA 91786-4011
Phone
(909) 532-8377
Fax
(909) 532-8807
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Hakob Babajanyan
Title
Ceo
Phone
(909) 532-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

869 E Foothill Blvd Ste I-a
Upland, CA 91786-4011

Mailing address

869 E Foothill Blvd Ste I-a
Upland, CA 91786-4011
Phone (909) 532-8377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210610002925 CA Part A Provider - Home Health Agency 1456751551 Practice locations: North Hollywood, CA

Home health agency certification: CCN 559576

Legal name
WELLNESS HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 5, 2021
Last certification
Aug 5, 2021
Organization structure
CorporationProprietary
Incorporated
Jul 19, 2017 in CA
Enrollment address
12444 Victory Blvd
Ste 102
North Hollywood, CA 91606-3156

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wellness Healthcare, IncCCN 559576 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Aug 5, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
Ste 102
North Hollywood, CA 91606
Phone (818) 763-4367

869 E Foothill Blvd
Ste Ia
Upland, CA 91786
Phone (909) 532-8377

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
Kristina Movsesyan Individual Contracted Managing EmployeeDPCS Apr 1, 2026
Hakob Adzhyan Individual 5% Or Greater Direct Ownership Interest Oct 23, 2019 100%
Corporate OfficerCeo,Cfo,Secretary Oct 23, 2019 100%
Corporate DirectorCeo.Cfo,Secretary Oct 23, 2019 100%
W-2 Managing EmployeeAd;Ad;Ceo,Cfo,Secretary Oct 23, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114441300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E FOOTHILL BLVD STE I-A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864011",
            "telephone_number": "909-532-8377",
            "fax_number": "909-532-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 E FOOTHILL BLVD STE I-A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864011",
            "telephone_number": "909-532-8377",
            "fax_number": "909-532-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BABAJANYAN",
        "authorized_official_first_name": "HAKOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-532-5377"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.