Organization Active NPI

Cambria Home Health

  • Home Health Agency
  • Glendora, CA
National Provider Identifier
1194397125
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAMBRIA HOME HEALTH
Practice address
1315 S Grand Ave Ste 201
Glendora, CA 91740-5053
Phone
(626) 387-9963
Fax
(626) 387-9872
NPI assigned
Jul 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Mr. Karen SahakyanNPI 1114503232
Title
Ceo
Phone
(626) 387-9963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1315 S Grand Ave Ste 201
Glendora, CA 91740-5053

Mailing address

1315 S Grand Ave Ste 201
Glendora, CA 91740-5053
Phone (626) 387-9963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221007002290 CA Part A Provider - Home Health Agency 3870979222 Practice locations: Glendora, CA

Home health agency certification: CCN 757391

Legal name
CAMBRIA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 16, 2023
Last certification
Aug 16, 2023
Organization structure
CorporationProprietary
Enrollment address
1315 S Grand Ave
Ste 201
Glendora, CA 91740-5053

Care Compare: Home health agency

Medicare Care Compare
Listed as
Cambria Home HealthCCN 757391
Overall star rating
3 of 5
Ownership
-
Certified
Aug 16, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2325756Cambria Home Health1315 S Grand Ave Suite 201, Glendora, CA 91740Certificate of waiverJun 18, 2027

National Provider Directory

National Provider Directory

Locations

1315 S Grand Ave
Ste 201
Glendora, CA 91740
Phone (626) 387-9118

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Sahakyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary 100% Owner Dec 17, 2020 100%
Corporate OfficerCeo/Cfo/Secretary 100% Owner Dec 17, 2020 100%
Corporate DirectorSole Board Member Dec 17, 2020 100%
W-2 Managing EmployeeCeo/Cfo/Secretary-100% Owner Dec 17, 2020 100%
Joyce B Pablo Individual W-2 Managing EmployeeDPCS Mar 11, 2024
Rhodora Serina Individual Corporate OfficerCeo,Cfo,Secretary,Admin Mar 11, 2024
Corporate DirectorCeo,Cfo,Secretary,Admin Mar 11, 2024
W-2 Managing EmployeeAd;,Cfo,Secretary, Mar 11, 2024

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 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": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1194397125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S GRAND AVE STE 201",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405053",
            "telephone_number": "626-387-9963",
            "fax_number": "626-387-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S GRAND AVE STE 201",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405053",
            "telephone_number": "626-387-9963",
            "fax_number": "626-387-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIA HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "SAHAKYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-387-9963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.