Advanced Global Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVANCED GLOBAL HEALTHCARE INC.

Practice address

1800 Broadview Dr Ste 250
Glendale, CA 91208-1259

Phone

(818) 839-4360

Fax

(818) 839-4361

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Alena Grudtsyna

Title

Ceo/President

Phone

(818) 839-4360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559706

Legal name

ADVANCED GLOBAL HEALTHCARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 30, 2021

Last certification

Dec 30, 2021

Organization structure

CorporationProprietary

Incorporated

Jul 1, 2020 in CA

Enrollment address

1800 Broadview Dr
Ste 250
Glendale, CA 91208-1259

Listed as

Advanced Global Healthcare Inc.CCN 559706 · All quality measures

Overall star rating

4.5 of 5

Ownership

-

Certified

Dec 30, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1306454236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BROADVIEW DR STE 250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081259",
            "telephone_number": "818-839-4360",
            "fax_number": "818-839-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BROADVIEW DR STE 250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081259",
            "telephone_number": "818-839-4360",
            "fax_number": "818-839-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GLOBAL HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "GRUDTSYNA",
        "authorized_official_first_name": "ALENA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-839-4360"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 Jul 16, 2020; 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.