Organization Active NPI

King Care Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1194484741
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KING CARE HOME HEALTH, INC.
Practice address
525 N Brand Blvd Ste 104
Glendale, CA 91203-3991
Phone
(323) 443-6633
NPI assigned
Dec 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Alek Torosyan
Title
Owner
Phone
(323) 443-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

525 N Brand Blvd Ste 104
Glendale, CA 91203-3991

Mailing address

525 N Brand Blvd Ste 104
Glendale, CA 91203-3991
Phone (323) 443-6633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220316000046 CA Part A Provider - Home Health Agency 7113312893 Practice locations: Glendale, CA

Home health agency certification: CCN 757496

Legal name
KING CARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 19, 2023
Last certification
Sep 19, 2023
Organization structure
CorporationProprietary
Enrollment address
525 N Brand Blvd
Ste 104
Glendale, CA 91203-3991

Care Compare: Home health agency

Medicare Care Compare
Listed as
King Care Home Health, Inc.CCN 757496
Overall star rating
4 of 5
Ownership
-
Certified
Sep 19, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

525 N Brand Blvd
Ste 104
Glendale, CA 91203
Phone (818) 928-2212

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
David Ko Individual 5% Or Greater Direct Ownership Interest Aug 15, 2024 49%
Corporate DirectorBoard Director Aug 16, 2024 49%
W-2 Managing EmployeeAd; Aug 16, 2024 49%
Alek Torosyan Individual 5% Or Greater Direct Ownership InterestCeo/Secretary/51% Stockholder Aug 15, 2024 51%
Corporate OfficerCeo/Secretary Dec 9, 2021 51%

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": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1194484741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N BRAND BLVD STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033991",
            "telephone_number": "323-443-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N BRAND BLVD STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033991",
            "telephone_number": "323-443-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "TOROSYAN",
        "authorized_official_first_name": "ALEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-443-6633"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.