Organization Active NPI

Grandview Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1114648896
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Yousef MehrabiNPI 1083693915
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 757945 · All quality measures
Ownership
-
Certified
Apr 24, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Yousef Mehrabi Individual 5% Or Greater Direct Ownership InterestCeo Jun 22, 2021 100%
Corporate OfficerCeo Jun 22, 2021 100%
Corporate DirectorCeo Jun 22, 2021 100%
W-2 Managing EmployeeCeo 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.

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": "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

Verify at the official NPI Registry.