Organization Active NPI

Marbella Home Health Inc

  • Home Health Agency
  • West Covina, CA
National Provider Identifier
1255089298
Registry record updated Mar 17, 2022
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Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARBELLA HOME HEALTH INC
Practice address
260 S Glendora Ave Ste 202
West Covina, CA 91790-3041
Phone
(818) 497-8020
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Vardan Malkhasian
Title
Ceo
Phone
(818) 497-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

260 S Glendora Ave Ste 202
West Covina, CA 91790-3041

Mailing address

260 S Glendora Ave Ste 202
West Covina, CA 91790-3041
Phone (818) 497-8020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250103002075 CA Part A Provider - Home Health Agency 4082142005 Practice locations: Glendale, CA

Home health agency certification: CCN 758227

Legal name
MARBELLA HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 19, 2025
Last certification
Nov 19, 2025
Organization structure
CorporationProprietary
Enrollment address
1241 S Glendale Ave
Ste 204C
Glendale, CA 91205-3385

National Provider Directory

National Provider Directory

Locations

260 S Glendora Ave
Ste 202
West Covina, CA 91790
Phone (818) 497-8020

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
Marbella Healthcare Management Organization, Glendale, CA Created for acquisition, Corporation, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 27, 2023 100%
Sahak Keshishyan Individual 5% Or Greater Indirect Ownership InterestCeo Sep 27, 2023 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member Sep 27, 2023 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member Sep 27, 2023 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member Sep 27, 2023 100%

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": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1255089298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S GLENDORA AVE STE 202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903041",
            "telephone_number": "818-497-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S GLENDORA AVE STE 202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903041",
            "telephone_number": "818-497-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBELLA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "MALKHASIAN",
        "authorized_official_first_name": "VARDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-497-8020"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.