NPIMap

Organization Active NPI

Pasadena Home Health Care

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1295870228
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in CA
Legal business name
PASADENA HOME HEALTH CARE
Practice address
3821 E Sierra Madre Blvd
Pasadena, CA 91107-1948
Phone
(626) 351-1300
Fax
(626) 351-1328
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Mr. Vahan Dovlatyan, HOME HEALTH
Title
Ceo Cfo Administrator President
Phone
(626) 351-1300

Specialties & licenses 1

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

Addresses

Primary practice location

3821 E Sierra Madre Blvd
Pasadena, CA 91107-1948

Mailing address

3821 E Sierra Madre Blvd
Pasadena, CA 91107-1948
Phone (626) 351-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030806000024 CA Part A Provider - Home Health Agency 2668383324 Practice locations: Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295870228. Details of each certification follow.

Home health agency certification: CCN 058129

Legal name
PASADENA HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 12, 2002
Last certification
Feb 19, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 8, 2002 in CA
Enrollment address
183 E Glenarm St
Ste 103
Pasadena, CA 91105-3446

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pasadena Home Health CareCCN 058129 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 12, 2002
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
05D0998833Pasadena Home Health Care183 E Glenarm St, Unit #103, Pasadena, CA 91105Certificate of waiverApr 24, 2028

National Provider Directory

National Provider Directory

Locations

3821 E Sierra Madre Blvd
Pasadena, CA 91107
Phone (626) 351-1300

183 E Glenarm St
Ste 103
Pasadena, CA 91105
Phone (626) 351-1300

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
Vahan Dovlatyan Individual 5% Or Greater Direct Ownership Interest Mar 8, 2002 51%
W-2 Managing EmployeeCeo Mar 8, 2002 100%
Sahak Ekshian Individual 5% Or Greater Direct Ownership Interest Mar 8, 2002 49%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1295870228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 E SIERRA MADRE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071948",
            "telephone_number": "626-351-1300",
            "fax_number": "626-351-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 E SIERRA MADRE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071948",
            "telephone_number": "626-351-1300",
            "fax_number": "626-351-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "DOVLATYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "CEO CFO ADMINISTRATOR PRESIDENT",
        "authorized_official_telephone_number": "626-351-1300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HOME HEALTH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.