Active NPI
Grandview Home Health Care, Inc.
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GRANDVIEW HOME HEALTH CARE, INC.
- Practice address
- 1220 W Glenoaks Blvd Ste 104
Glendale, CA 91201-2292 - Phone
- (747) 300-0814
- Fax
- (747) 300-0818
- NPI assigned
- Sep 9, 2022
- 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
- Yousef Mehrabi
- Title
- Cwo
- Phone
- (747) 300-0814
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1220 W Glenoaks Blvd Ste 104
Glendale, CA 91201-2292
Mailing address
1220 W Glenoaks Blvd Ste 104
Glendale, CA 91201-2292
Phone (747) 300-0814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230628001212 | CA | Part A Provider - Home Health Agency | 1254799919 | Practice locations: Glendale, CA |
Home health agency certification: CCN 757945
- Legal name
- GRANDVIEW HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 24, 2024
- Last certification
- Apr 24, 2024
- Organization structure
- Corporation
- Incorporated
- Jun 22, 2021 in CA
- Enrollment address
- 1220 W Glenoaks Blvd
Ste 104
Glendale, CA 91201-2292
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Grandview Home Health Care, Inc.
- Ownership
- -
- Certified
- Apr 24, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1220 W Glenoaks Blvd
Ste 104
Glendale, CA 91201
Phone (747) 300-0814
Ownership & related parties
All disclosed owners & managing parties 1
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 |
|---|---|---|---|
| Yousef Mehrabi | 5% Or Greater Direct Ownership Interest | Jun 22, 2021 | 100% |
| Corporate Officer | Jun 22, 2021 | 100% | |
| Corporate Director | Jun 22, 2021 | 100% | |
| W-2 Managing Employee | Jun 22, 2021 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Pediatrics Physician
- Encino, CA
- NPI 1083693915
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Encino, CA
- NPI 1083693915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662681600000",
"number": "1114648896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 W GLENOAKS BLVD STE 104",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912012292",
"telephone_number": "747-300-0814",
"fax_number": "747-300-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 W GLENOAKS BLVD STE 104",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912012292",
"telephone_number": "747-300-0814",
"fax_number": "747-300-0818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANDVIEW HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A",
"authorized_official_last_name": "MEHRABI",
"authorized_official_first_name": "YOUSEF",
"authorized_official_title_or_position": "CWO",
"authorized_official_telephone_number": "747-300-0814"
},
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.