Active NPI
Wellness Healthcare, Inc.
- Home Health Agency
- Upland, CA
National Provider Identifier
1114441300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- -
- Certified
- Aug 5, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kristina Movsesyan | Contracted Managing Employee | Apr 1, 2026 | |
| Hakob Adzhyan | 5% Or Greater Direct Ownership Interest | Oct 23, 2019 | 100% |
| Corporate Officer | Oct 23, 2019 | 100% | |
| Corporate Director | Oct 23, 2019 | 100% | |
| W-2 Managing Employee | Oct 23, 2019 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Santa Monica, CA
- NPI 1881625143
Home health agency
-
- Physical Medicine & Rehabilitation Physician
- Arcadia, CA
- NPI 1528184033
Home health agency
-
- Pulmonary Disease Physician
- Sherman Oaks, CA
- NPI 1679548556
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.