Organization Active NPI

Asclepius Home Healthcare Inc

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1194119495
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 24, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 559513
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Oct 1, 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

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.

NameRoleSinceShare
Avelino Fernando Individual 5% Or Greater Direct Ownership Interest May 23, 2024 50%
Corporate OfficerCeo May 23, 2024 50%
Corporate DirectorCeo May 23, 2024 50%
W-2 Managing EmployeeAd;DPCS May 23, 2024 50%
Maria Karren Lyn Corbito Individual 5% Or Greater Direct Ownership Interest May 23, 2024 50%
Corporate OfficerCeo May 23, 2024 50%
Corporate DirectorCeo May 23, 2024 50%
W-2 Managing EmployeeAd;Designee/DPCS Designee May 23, 2024 50%

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": "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

Verify at the official NPI Registry.