Active NPI
Quantum Home Health Services, Inc.
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2016
- 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
- Vazgen Manukyan
- Title
- President
- Phone
- (818) 847-7997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 520 E Wilson Ave
Ste 215
Glendale, CA 91206-4374
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Quantum Home Health Services Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 13, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2145497 | Quantum Home Health Services Inc | Certificate of waiver | Mar 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Anna Anushik Derderian | W-2 Managing Employee | Apr 15, 2026 | |
| Yana Zilberman | 5% Or Greater Direct Ownership Interest | Nov 13, 2019 | 100% |
| Corporate Officer | Nov 13, 2019 | 100% | |
| Corporate Director | Nov 13, 2019 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.