Organization Active NPI

Lucid Home Health Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1134970445
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUCID HOME HEALTH INC.
Practice address
715 N Central Ave Ste 215
Glendale, CA 91203-4253
Phone
(747) 777-5258
Fax
(747) 777-5268
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Garen Arutunyan
Title
Ceo
Phone
(747) 777-5258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

715 N Central Ave Ste 215
Glendale, CA 91203-4253

Mailing address

715 N Central Ave Ste 215
Glendale, CA 91203-4253
Phone (747) 777-5258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250317001600 CA Part A Provider - Home Health Agency 3779005095 Practice locations: Glendale, CA

Home health agency certification: CCN 758065

Legal name
LUCID HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 1, 2025
Last certification
Jul 24, 2025
Organization structure
CorporationProprietary
Enrollment address
715 N Central Ave
Ste 215
Glendale, CA 91203-4253

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lucid Home Health Inc.CCN 758065
Ownership
-
Certified
Aug 1, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

715 N Central Ave
Ste 215
Glendale, CA 91203
Phone (747) 777-5258

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
Garen Arutunyan Individual 5% Or Greater Direct Ownership InterestCeo Jan 31, 2024 100%
Corporate OfficerCeo Jan 31, 2024 100%
Corporate DirectorCeo Jan 31, 2024 100%
W-2 Managing EmployeeCeo Jan 31, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1134970445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N CENTRAL AVE STE 215",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034253",
            "telephone_number": "747-777-5258",
            "fax_number": "747-777-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N CENTRAL AVE STE 215",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034253",
            "telephone_number": "747-777-5258",
            "fax_number": "747-777-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "ARUTUNYAN",
        "authorized_official_first_name": "GAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-777-5258"
    },
    "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.