Organization Active NPI

Permanent Home Health Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1316556608
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERMANENT HOME HEALTH INC
Practice address
3715 Market St Ste 112
Glendale, CA 91208-3437
Phone
(818) 330-7970
NPI assigned
Jul 23, 2020
Last updated
Jul 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Viktorya Tshughuryan
Title
Ceo
Phone
(818) 330-7970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3715 Market St Ste 112
Glendale, CA 91208-3437

Mailing address

3715 Market St Ste 112
Glendale, CA 91208-3437
Phone (818) 330-7970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211216000561 CA Part A Provider - Home Health Agency 9335530914 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316556608. Details of each certification follow.

Home health agency certification: CCN 559698

Legal name
PERMANENT HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 5, 2022
Last certification
Jan 5, 2022
Organization structure
CorporationProprietary
Incorporated
Jul 2, 2020 in CA
Enrollment address
1100 E Broadway
Ste 204
Glendale, CA 91205-2490

Care Compare: Home health agency

Medicare Care Compare
Listed as
Permanent Home Health, Inc.CCN 559698 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Jan 5, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1100 E Broadway
Ste 204
Glendale, CA 91205
Phone (818) 330-7970

3715 Market St
Ste 112
Glendale, CA 91208
Phone (818) 330-7970

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.

NameRoleSinceShare
Yerjo Aghajanyan Individual 5% Or Greater Direct Ownership InterestPresident,Ceo/Cfo,Secretary May 1, 2025 100%
Corporate Officer May 1, 2025 100%
Corporate Director May 1, 2025 100%
Operational/Managerial ControlPresident,/Ceo/Cfo, Seretary May 1, 2025 100%

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": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1316556608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 MARKET ST STE 112",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912083437",
            "telephone_number": "818-330-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 MARKET ST STE 112",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912083437",
            "telephone_number": "818-330-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMANENT HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "TSHUGHURYAN",
        "authorized_official_first_name": "VIKTORYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-330-7970"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.