Glendale Care Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GLENDALE CARE HOME HEALTH

Practice address

225 E Broadway Ste 304C
Glendale, CA 91205-1008

Phone

(747) 265-3365

NPI assigned

Apr 28, 2021

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Liana OgannessyanNPI 1790535698

Title

Ceo

Phone

(747) 265-3365

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164004107. Details of each certification follow.

• CCN 757642 Home health agency · Active · Details

Home health agency certification: CCN 757642

Legal name

GLENDALE CARE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 19, 2024

Last certification

Apr 19, 2024

Organization structure

CorporationProprietary

Incorporated

Apr 3, 2021 in CA

Enrollment address

225 E Broadway
Ste 304C
Glendale, CA 91205-4099

Listed as

Glendale Care Home HealthCCN 757642 · All quality measures

Ownership

-

Certified

Apr 19, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Liana Ogannessyan

  • Marriage & Family Therapist
  • Glendale, CA
  • NPI 1790535698

  5% Or Greater Indirect Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Liana Ogannessyan

  • Marriage & Family Therapist
  • Glendale, CA
  • NPI 1790535698
  NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1164004107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE 304C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE 304C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "747-265-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "OGANNESSYAN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-265-3365"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.

Verify at the official NPI Registry.