Organization Active NPI

Andre F. Henry Medical Enterprise Inc.

Doing business as Rely Able Home Health Care

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1194894782
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CareCCN 058177 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Apr 24, 2003
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

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.

NameRoleSinceShare
Claudel Thamas Individual Contracted Managing EmployeeDirector of Nursing Jun 27, 2003
Corporate OfficerDirector of Nursing Jun 27, 2003
Corporate DirectorDirector of Nursing Jun 27, 2003
OtherDirector of Nursing Jun 27, 2003
Yanick Henry-Edwards Individual Corporate OfficerPresident/Administrator May 18, 2005
Corporate DirectorPresident/Administrator May 18, 2005
W-2 Managing Employee May 18, 2005
Other Aug 17, 2007
Patrick Henry Individual Corporate OfficerVice President Jan 1, 2009
Corporate DirectorDirector of Patient Relations Jan 1, 2009
W-2 Managing Employee Jan 1, 2009
Marlene Henry Individual 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

Verify at the official NPI Registry.