Glory Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GLORY HOME HEALTH CARE

Practice address

19634 Ventura Blvd Ste 200
Tarzana, CA 91356-2966

Phone

(747) 300-3430

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Hovhannes Grigoryan

Title

Ceo

Phone

(747) 300-3430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757216

Legal name

GLORY HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 26, 2023

Last certification

Jan 26, 2023

Organization structure

CorporationProprietary

Enrollment address

18127 Parthenia St
Northridge, CA 91325-3301

Listed as

Glory Home Health CareCCN 757216

Overall star rating

1.5 of 5

Ownership

-

Certified

Jan 26, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Roofan Alsayegh, MD

  • Hospitalist Physician
  • West Hills, CA
  • NPI 1477841641

  Home health agency

  Care Compare affiliation
• Asra Farooqui, MD

  • Hospitalist Physician
  • Thousand Oaks, CA
  • NPI 1437286796

  Home health agency

  Care Compare affiliation
• Caleb Warren Hirsch, MD

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1619976800

  Home health agency

  Care Compare affiliation
• Bruce Allen Jacobson, M.D.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1558314971

  Home health agency

  Care Compare affiliation
• Ojen Masrour, M.D.

  • General Practice Physician
  • West Hills, CA
  • NPI 1740249762

  Home health agency

  Care Compare affiliation
• Soodeh Nili, M.D

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1942590542

  Home health agency

  Care Compare affiliation
• Rami M Shaarawy, M.D.

  • Internal Medicine Physician
  • Canoga Park, CA
  • NPI 1154494755

  Home health agency

  Care Compare affiliation
• Martin Zapata, D.O

  • Internal Medicine Physician
  • Norwalk, CA
  • NPI 1689628240

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1255928503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 200",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 200",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "747-300-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "HOVHANNES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-300-3430"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.

Verify at the official NPI Registry.