Organization Active NPI

Home Health Care Organization, Inc .

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1265968028
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH CARE ORGANIZATION, INC .
Practice address
644 W. Broadway
Suite 102
Glendale, CA 91204-1026
Phone
(818) 937-9919
Fax
(818) 937-9920
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Gohar Balasanyan
Title
Ceo/President
Phone
(818) 937-9919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

644 W. Broadway
Suite 102
Glendale, CA 91204-1026

Mailing address

644 W. Broadway
Suite 102
Glendale, CA 91204-1026
Phone (818) 937-9919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200924001087 CA Part A Provider - Home Health Agency 2961821962 Practice locations: Glendale, CA

Home health agency certification: CCN 559516

Legal name
HOME HEALTH CARE ORGANIZATION INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 2, 2021
Last certification
Sep 2, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 20, 2017 in CA
Enrollment address
644 W Broadway
Ste 102
Glendale, CA 91204-1026

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health Care Organization, IncCCN 559516
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 2, 2021
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
05D1012484Home Health Care Organization, Inc644 W Broadway #102, Glendale, CA 91204Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

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
Gohar Balasanyan Individual 5% Or Greater Direct Ownership Interest Mar 20, 2017 100%
Corporate OfficerCeo Mar 20, 2017 100%
W-2 Managing EmployeeCeo Mar 2, 2017 100%

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1265968028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 W. BROADWAY",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041026",
            "telephone_number": "818-937-9919",
            "fax_number": "818-937-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 W. BROADWAY",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041026",
            "telephone_number": "818-937-9919",
            "fax_number": "818-937-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH CARE ORGANIZATION, INC .",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "BALASANYAN",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-937-9919"
    },
    "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.