Active NPI
Noel Home Health Care, Inc.
- Home Health Agency
- La Crescenta, CA
National Provider Identifier
1154903557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NOEL HOME HEALTH CARE, INC.
- Practice address
- 2505 Foothill Blvd Ste a
La Crescenta, CA 91214-4552 - Phone
- (747) 777-4463
- Fax
- (747) 777-5463
- NPI assigned
- Apr 25, 2021
- Last updated
- Nov 17, 2023
- 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
- Anahid Grigorian
- Title
- Ceo
- Phone
- (747) 777-4463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
2505 Foothill Blvd Ste a
La Crescenta, CA 91214-4552
Mailing address
2505 Foothill Blvd Ste a
La Crescenta, CA 91214-4552
Phone (747) 777-4463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220314000025 | CA | Part A Provider - Home Health Agency | 9931594801 | Practice locations: La Crescenta, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1154903557. Details of each certification follow.
Home health agency certification: CCN 757009
- Legal name
- NOEL HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 13, 2022
- Last certification
- Jul 13, 2022
- Organization structure
- Corporation
- Incorporated
- Mar 15, 2021 in CA
- Enrollment address
- 2505 Foothill Blvd
Ste a
La Crescenta, CA 91214-4552
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Noel Home Health Care, Inc.
- Overall star rating
- Ownership
- -
- Certified
- Jul 13, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
2505 Foothill Blvd
Ste A
La Crescenta, CA 91214
Phone (747) 777-4463
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 |
|---|---|---|---|
| Yevgine Barseghyan | 5% Or Greater Direct Ownership Interest | Mar 15, 2021 | 100% |
| Corporate Officer | Mar 15, 2021 | 100% | |
| Corporate Director | Mar 15, 2021 | 100% | |
| W-2 Managing Employee | Mar 15, 2021 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- San Dimas, CA
- NPI 1265500896
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700179200000",
"number": "1154903557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 FOOTHILL BLVD STE A",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912144552",
"telephone_number": "747-777-4463",
"fax_number": "747-777-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 FOOTHILL BLVD STE A",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912144552",
"telephone_number": "747-777-4463",
"fax_number": "747-777-5463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOEL HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-25",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A",
"authorized_official_last_name": "GRIGORIAN",
"authorized_official_first_name": "ANAHID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-777-4463"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.