Organization Active NPI

Logos Home Health Care Inc

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1144713363
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOGOS HOME HEALTH CARE INC
Practice address
209 E Alameda Ave # 106
Burbank, CA 91502-2672
Phone
(818) 588-3132
Fax
(818) 588-3102
NPI assigned
Jun 12, 2018
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Mariam Abgaryan
Title
Ceo
Phone
(818) 588-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

209 E Alameda Ave # 106
Burbank, CA 91502-2672

Mailing address

209 E Alameda Ave # 106
Burbank, CA 91502-2672
Phone (818) 588-3132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181018002512 CA Part A Provider - Home Health Agency 0547513657 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144713363. Details of each certification follow.

Home health agency certification: CCN 559155

Legal name
LOGOS HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 29, 2020
Last certification
Jan 29, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 17, 2018 in CA
Enrollment address
209 E Alameda Ave
Ste 106
Burbank, CA 91502-2672

Care Compare: Home health agency

Medicare Care Compare
Listed as
Logos Home Health CareCCN 559155 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 29, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

209 E Alameda Ave
#106
Burbank, CA 91502
Phone (818) 588-3132

209 E Alameda Ave
Ste 106
Burbank, CA 91502
Phone (818) 588-3132

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
Mariam Abgaryan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary/Board Member/Adm. Apr 3, 2023 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member/Adm. Apr 3, 2023 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member/Adm. Apr 3, 2023 100%
W-2 Managing EmployeeAd;Ceo/Cfo/Sec/Board Member/Adm. Apr 3, 2023
Naira Tadevosyan Individual W-2 Managing EmployeeDPCS Apr 3, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1144713363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E ALAMEDA AVE # 106",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022672",
            "telephone_number": "818-588-3132",
            "fax_number": "818-588-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E ALAMEDA AVE # 106",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022672",
            "telephone_number": "818-588-3132",
            "fax_number": "818-588-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "ABGARYAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-588-3132"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.