Organization Active NPI

Quantum Home Health Services, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1225499742
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QUANTUM HOME HEALTH SERVICES, INC.
Practice address
520 E Wilson Ave Ste 215
Glendale, CA 91206-4374
Phone
(818) 847-7997
Fax
(818) 860-0286
NPI assigned
Mar 10, 2016
Last updated
Mar 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Vazgen Manukyan
Title
President
Phone
(818) 847-7997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

520 E Wilson Ave Ste 215
Glendale, CA 91206-4374

Mailing address

520 E Wilson Ave Ste 215
Glendale, CA 91206-4374
Phone (818) 847-7997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180418000770 CA Part A Provider - Home Health Agency 3577826981 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225499742. Details of each certification follow.

Home health agency certification: CCN 559219

Legal name
QUANTUM HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 13, 2020
Last certification
Mar 13, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
520 E Wilson Ave
Ste 215
Glendale, CA 91206-4374
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Quantum Home Health Services IncCCN 559219 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 13, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2145497Quantum Home Health Services Inc520 E. Wilson Avenue Ste 215, Glendale, CA 91206Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

Locations

520 E Wilson Ave
Ste 215
Glendale, CA 91206
Phone (818) 847-7997

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
Anna Anushik Derderian Individual W-2 Managing EmployeeAd;DPCS Apr 15, 2026
Yana Zilberman Individual 5% Or Greater Direct Ownership InterestCeo Nov 13, 2019 100%
Corporate OfficerCeo Nov 13, 2019 100%
Corporate DirectorCeo Nov 13, 2019 100%
W-2 Managing EmployeeCeo Nov 13, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1225499742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E WILSON AVE STE 215",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064374",
            "telephone_number": "818-847-7997",
            "fax_number": "818-860-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E WILSON AVE STE 215",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064374",
            "telephone_number": "818-847-7997",
            "fax_number": "818-860-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "VAZGEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-847-7997"
    },
    "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.