La Canada Home Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LA CANADA HOME INC.

Practice address

1545 N Verdugo Rd Ste 200
Glendale, CA 91208-2872

Phone

(650) 265-1193

Fax

(181) 836-9327

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Levon Patanyan

Title

Ceo

Phone

(650) 265-1193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275208670. Details of each certification follow.

• CCN 757478 Home health agency · Active · Details

Home health agency certification: CCN 757478

Legal name

LA CANADA HOME INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 25, 2023

Last certification

Oct 25, 2023

Organization structure

CorporationProprietary

Incorporated

Jul 14, 2021 in CA

Enrollment address

1545 N Verdugo Rd
Ste 200
Glendale, CA 91208-2872

Listed as

La Canada Home Inc.CCN 757478 · All quality measures

Ownership

-

Certified

Oct 25, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1275208670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 N VERDUGO RD STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082872",
            "telephone_number": "650-265-1193",
            "fax_number": "181-836-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N VERDUGO RD STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082872",
            "telephone_number": "650-265-1193",
            "fax_number": "181-836-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CANADA HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "PATANYAN",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-265-1193"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendale, CA
• Providers in Glendale, 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 Aug 9, 2021; 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.