Organization Active NPI

Aili Home Health Agency Inc

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1285215129
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AILI HOME HEALTH AGENCY INC
Practice address
146 N San Fernando Blvd Ste 212
Burbank, CA 91502-1230
Phone
(818) 569-5691
Fax
(818) 569-5638
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Ms. Yelena Nazarian
Title
Ceo
Phone
(818) 569-5691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

146 N San Fernando Blvd Ste 212
Burbank, CA 91502-1230

Mailing address

146 N San Fernando Blvd Ste 212
Burbank, CA 91502-1230
Phone (818) 569-5691

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026000459 CA Part A Provider - Home Health Agency 9537535950 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285215129. Details of each certification follow.

Home health agency certification: CCN 757221

Legal name
AILI HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 20, 2023
Last certification
Apr 13, 2023
Organization structure
CorporationProprietary
Incorporated
Nov 19, 2019 in CA
Enrollment address
146 N San Fernando Blvd
Ste 212
Burbank, CA 91502-1230

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aili Home Health Agency, IncCCN 757221 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Apr 20, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2295784Aili Home Health Agency, Inc.146 N San Fernando Blvd Suite 212, Burbank, CA 91502Certificate of waiverDec 14, 2027

National Provider Directory

National Provider Directory

Locations

146 N San Fernando Blvd
Ste 212
Burbank, CA 91502
Phone (818) 569-5691

2626 Foothill Blvd
Ste 290
La Crescenta, CA 91214

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
Julna Jerry Carrillo Individual W-2 Managing EmployeeDPCS/Administrator Nov 19, 2019
Yelena Nazarian Individual 5% Or Greater Direct Ownership Interest Nov 19, 2019 100%
Corporate OfficerCeo/Cfo/Secretary/Owner Nov 19, 2019
Corporate DirectorCeo/Cfo/Secretary/Owner Nov 19, 2019

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": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1285215129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 N SAN FERNANDO BLVD STE 212",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021230",
            "telephone_number": "818-569-5691",
            "fax_number": "818-569-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N SAN FERNANDO BLVD STE 212",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021230",
            "telephone_number": "818-569-5691",
            "fax_number": "818-569-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AILI HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "NAZARIAN",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-569-5691",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.