Active NPI
Asclepius Home Healthcare Inc
- Home Health Agency
- Burbank, CA
National Provider Identifier
1194119495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ASCLEPIUS HOME HEALTHCARE INC
- Practice address
- 356 E Olive Ave
Suite 104
Burbank, CA 91502-1222 - Phone
- (818) 558-4070
- Fax
- (818) 558-4071
- NPI assigned
- Mar 24, 2015
- 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
- Mr. Armen Grigoryan, RN
- Title
- President
- Phone
- (818) 558-4070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
356 E Olive Ave
Suite 104
Burbank, CA 91502-1222
Mailing address
356 E Olive Ave
Suite 104
Burbank, CA 91502-1222
Phone (818) 558-4070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160120002381 | CA | Part A Provider - Home Health Agency | 2466755780 | Practice locations: Santa Clarita, CA |
Home health agency certification: CCN 559513
- Legal name
- ASCLEPIUS HOME HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 1, 2020
- Last certification
- Oct 1, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 28100 Bouquet Canyon Rd
Ste 209
Santa Clarita, CA 91350-2006
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Asclepius Home Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 1, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
356 E Olive Ave
Ste 104
Burbank, CA 91502
Phone (818) 558-4070
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Avelino Fernando | 5% Or Greater Direct Ownership Interest | May 23, 2024 | 50% |
| Corporate Officer | May 23, 2024 | 50% | |
| Corporate Director | May 23, 2024 | 50% | |
| W-2 Managing Employee | May 23, 2024 | 50% | |
| Maria Karren Lyn Corbito | 5% Or Greater Direct Ownership Interest | May 23, 2024 | 50% |
| Corporate Officer | May 23, 2024 | 50% | |
| Corporate Director | May 23, 2024 | 50% | |
| W-2 Managing Employee | May 23, 2024 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Hawthorne, CA
- NPI 1639253396
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427155200000",
"number": "1194119495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 E OLIVE AVE",
"address_2": "SUITE 104",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021222",
"telephone_number": "818-558-4070",
"fax_number": "818-558-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 E OLIVE AVE",
"address_2": "SUITE 104",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021222",
"telephone_number": "818-558-4070",
"fax_number": "818-558-4071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCLEPIUS HOME HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-24",
"last_updated": "2015-03-24",
"status": "A",
"authorized_official_last_name": "GRIGORYAN",
"authorized_official_first_name": "ARMEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-558-4070",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.