Organization Active NPI

Helios Home Health, Inc.

  • Community Based Hospice Care Agency
  • Pasadena, CA
National Provider Identifier
1194308924
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HELIOS HOME HEALTH, INC.
Practice address
4 E Holly St Ste 207
Pasadena, CA 91103-3900
Phone
(626) 421-6133
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Liana Petrosyan
Title
Ceo
Phone
(626) 421-6133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4 E Holly St Ste 207
Pasadena, CA 91103-3900

Mailing address

4 E Holly St Ste 207
Pasadena, CA 91103-3900
Phone (626) 421-6133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220822000142 CA Part A Provider - Home Health Agency 0941683114 Practice locations: Pasadena, CA

Home health agency certification: CCN 757341

Legal name
HELIOS HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 19, 2023
Last certification
Apr 13, 2023
Organization structure
CorporationProprietary
Enrollment address
4 E Holly St
Ste 207
Pasadena, CA 91103-3900

Care Compare: Home health agency

Medicare Care Compare
Listed as
Helios Home Health, IncCCN 757341
Overall star rating
3 of 5
Ownership
-
Certified
Apr 19, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4 E Holly St
Ste 207
Pasadena, CA 91103
Phone (626) 421-6133

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
Liana Petrosyan Individual 5% Or Greater Direct Ownership Interest Aug 20, 2024 51%
Corporate Officer Apr 16, 2021
Corporate Director Apr 16, 2021
W-2 Managing Employee Apr 16, 2021
Meline Garibyan Individual 5% Or Greater Direct Ownership Interest Aug 20, 2024 49%
Corporate Officer Aug 20, 2024 49%
Corporate Director Aug 20, 2024 49%
W-2 Managing Employee Aug 20, 2024 49%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1194308924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E HOLLY ST STE 207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033900",
            "telephone_number": "626-421-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E HOLLY ST STE 207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033900",
            "telephone_number": "626-421-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELIOS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-421-6133"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.