Active NPI
Andre F. Henry Medical Enterprise Inc.
Doing business as Rely Able Home Health Care
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANDRE F. HENRY MEDICAL ENTERPRISE INC.
- Doing business as
- Rely Able Home Health Care
- Practice address
- 331 Arden Ave
Suite 101
Glendale, CA 91203-4059 - Phone
- (818) 241-6470
- Fax
- (818) 241-8124
- NPI assigned
- Nov 7, 2006
- Last updated
- Aug 22, 2020
- 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
- Ms. Trudy K Adams
- Title
- Office Manager
- Phone
- (818) 241-6470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CA | Primary |
Addresses
Primary practice location
331 Arden Ave
Suite 101
Glendale, CA 91203-4059
Mailing address
331 Arden Ave
Suite 101
Glendale, CA 91203-4059
Phone (818) 241-6470
Other names 1
- Rely Able Home Health Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101019000000 | CA | Part A Provider - Home Health Agency | 2567417835 | Practice locations: Glendale, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1194894782. Details of each certification follow.
Home health agency certification: CCN 058177
- Legal name
- ANDRE F. HENRY MEDICAL ENTERPRISE INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 24, 2003
- Last certification
- Feb 26, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 18, 2002 in CA
- Enrollment address
- 331 Arden Ave
Ste 101
Glendale, CA 91203-4023
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Rely Able Home Health Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 24, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
331 Arden Ave
Ste 101
Glendale, CA 91203
Phone (213) 761-4304
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Claudel Thamas | Contracted Managing Employee | Jun 27, 2003 | |
| Corporate Officer | Jun 27, 2003 | ||
| Corporate Director | Jun 27, 2003 | ||
| Other | Jun 27, 2003 | ||
| Yanick Henry-Edwards | Corporate Officer | May 18, 2005 | |
| Corporate Director | May 18, 2005 | ||
| W-2 Managing Employee | May 18, 2005 | ||
| Other | Aug 17, 2007 | ||
| Patrick Henry | Corporate Officer | Jan 1, 2009 | |
| Corporate Director | Jan 1, 2009 | ||
| W-2 Managing Employee | Jan 1, 2009 | ||
| Marlene Henry | 5% Or Greater Direct Ownership Interest | May 18, 2005 | 100% |
| Corporate Director | May 18, 2005 |
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": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194894782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 ARDEN AVE",
"address_2": "SUITE 101",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034059",
"telephone_number": "818-241-6470",
"fax_number": "818-241-8124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 ARDEN AVE",
"address_2": "SUITE 101",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034059",
"telephone_number": "818-241-6470",
"fax_number": "818-241-8124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDRE F. HENRY MEDICAL ENTERPRISE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "TRUDY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "818-241-6470",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rely Able Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.