Organization Active NPI

Calimed Health Care Inc

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1285132761
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CALIMED HEALTH CARE INC
Practice address
869 E Foothill Blvd Ste K
Upland, CA 91786-4063
Phone
(909) 552-6535
Fax
(909) 552-6480
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Armen Vahanyan
Title
Ceo
Phone
(909) 552-6535

Specialties & licenses 1

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

Addresses

Primary practice location

869 E Foothill Blvd Ste K
Upland, CA 91786-4063

Mailing address

869 E Foothill Blvd Ste K
Upland, CA 91786-4063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201205000013 CA Part A Provider - Home Health Agency 4789095266 Practice locations: Glendale, CA

Home health agency certification: CCN 559674

Legal name
CALIMED HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 29, 2021
Last certification
Nov 16, 2021
Organization structure
CorporationProprietary
Enrollment address
664 W Broadway
Ste F
Glendale, CA 91204-1097

Care Compare: Home health agency

Medicare Care Compare
Listed as
Calimed Health Care IncCCN 559674 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Nov 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

664 W Broadway
Ste F
Glendale, CA 91204
Phone (909) 552-6535

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
Nelli Kirakosyan Individual 5% Or Greater Direct Ownership InterestCeo Dec 9, 2024 100%
Corporate Officer Oct 1, 2022 100%
Corporate Director Oct 1, 2022 100%
W-2 Managing Employee Oct 1, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1285132761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E FOOTHILL BLVD STE K",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 E FOOTHILL BLVD STE K",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864063",
            "telephone_number": "909-552-6535",
            "fax_number": "909-552-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIMED HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "VAHANYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-552-6535"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.