Organization Active NPI

Nourish Health Care Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
National Provider Identifier
1306683651
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NOURISH HEALTH CARE INCORPORATED
Practice address
200 W Glenoaks Blvd Ste 203
Glendale, CA 91202-3617
Phone
(747) 240-4696
NPI assigned
Jul 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Hayk Gevorgyan
Title
Ceo
Phone
(747) 240-4696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

200 W Glenoaks Blvd Ste 203
Glendale, CA 91202-3617

Mailing address

200 W Glenoaks Blvd Ste 203
Glendale, CA 91202-3617
Phone (747) 240-4696

National Provider Directory

National Provider Directory

Locations

200 W Glenoaks Blvd
Ste 203
Glendale, CA 91202
Phone (747) 240-4696

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1306683651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W GLENOAKS BLVD STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023617",
            "telephone_number": "747-240-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W GLENOAKS BLVD STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023617",
            "telephone_number": "747-240-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH HEALTH CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "HAYK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-240-4696"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.