Organization Active NPI

Glen West Health Services

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1245984855
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GLEN WEST HEALTH SERVICES
Practice address
135 N Victory Blvd Ste 3
Burbank, CA 91502-1837
Phone
(747) 273-2528
Fax
(747) 223-6727
NPI assigned
Feb 11, 2022
Last updated
Feb 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Hovhannes Arustamyan
Title
Ceo
Phone
(747) 273-2528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

135 N Victory Blvd Ste 3
Burbank, CA 91502-1837

Mailing address

135 N Victory Blvd Ste 3
Burbank, CA 91502-1837
Phone (747) 273-2528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231219000702 CA Part A Provider - Home Health Agency 3476903394 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245984855. Details of each certification follow.

Home health agency certification: CCN 757805

Legal name
GLEN WEST HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 8, 2024
Last certification
Oct 25, 2024
Organization structure
CorporationProprietary
Incorporated
Feb 5, 2022 in CA
Enrollment address
135 N Victory Blvd
Ste 3
Burbank, CA 91502-1837

Care Compare: Home health agency

Medicare Care Compare
Listed as
Glen West Health ServicesCCN 757805 · All quality measures
Ownership
-
Certified
Nov 8, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

135 N Victory Blvd
Ste 3
Burbank, CA 91502
Phone (747) 273-2528

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hovhannes Arustamyan Individual 5% Or Greater Direct Ownership Interest Feb 5, 2022 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member Feb 5, 2022 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member Feb 5, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member Feb 5, 2022 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1245984855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N VICTORY BLVD STE 3",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021837",
            "telephone_number": "747-273-2528",
            "fax_number": "747-223-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N VICTORY BLVD STE 3",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021837",
            "telephone_number": "747-273-2528",
            "fax_number": "747-223-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN WEST HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "ARUSTAMYAN",
        "authorized_official_first_name": "HOVHANNES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-273-2528"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.