Active NPI
Themis Home Health, Inc.
- Home Health Agency
- Glendale, CA
National Provider Identifier
1306427752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- THEMIS HOME HEALTH, INC.
- Practice address
- 427 W Colorado St Ste 102C
Glendale, CA 91204-1583 - Phone
- (747) 444-1893
- NPI assigned
- Apr 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yevgeniya Andreasyan
- Title
- Ceo
- Phone
- (747) 444-1893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
427 W Colorado St Ste 102C
Glendale, CA 91204-1583
Mailing address
427 W Colorado St Ste 102C
Glendale, CA 91204-1583
Phone (747) 444-1893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240826002443 | CA | Part A Provider - Home Health Agency | 0042663817 | Practice locations: Glendale, CA |
Home health agency certification: CCN 757796
- Legal name
- THEMIS HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 21, 2024
- Last certification
- Nov 21, 2024
- Organization structure
- Corporation
- Incorporated
- in CA
- Enrollment address
- 427 W Colorado St
Ste 102C
Glendale, CA 91204-1583
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Themis Home Health, Inc.
- Overall star rating
- Ownership
- -
- Certified
- Nov 21, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
427 W Colorado St
Ste 102C
Glendale, CA 91204
Phone (747) 444-1893
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Yevgeniya Andreasyan | 5% Or Greater Direct Ownership Interest | Sep 10, 2021 | 100% |
| Corporate Director | Sep 10, 2021 | 100% | |
| W-2 Managing Employee | Sep 10, 2021 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Chino, CA
- NPI 1356963185
Home health agency
-
- Family Medicine Physician
- Monterey Park, CA
- NPI 1225143274
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1306427752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 W COLORADO ST STE 102C",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041583",
"telephone_number": "747-444-1893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 W COLORADO ST STE 102C",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041583",
"telephone_number": "747-444-1893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THEMIS HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-17",
"last_updated": "2024-04-18",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "ANDREASYAN",
"authorized_official_first_name": "YEVGENIYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-444-1893"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.