Organization Active NPI

Harvard Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1316695091
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HARVARD HOME HEALTH, INC.
Practice address
415 E Harvard St Ste 103
Glendale, CA 91205-1045
Phone
(747) 301-3252
Fax
(747) 301-3253
NPI assigned
Mar 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Authorized official

Name
Artur Aghayan
Title
Ceo
Phone
(747) 301-3252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

415 E Harvard St Ste 103
Glendale, CA 91205-1045

Mailing address

415 E Harvard St Ste 103
Glendale, CA 91205-1045
Phone (747) 301-3252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921001035 CA Part A Provider - Home Health Agency 5395120752 Practice locations: Glendale, CA

Home health agency certification: CCN 757735

Legal name
HARVARD HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 21, 2024
Last certification
Aug 21, 2024
Organization structure
CorporationProprietary
Incorporated
Mar 1, 2022 in CA
Enrollment address
415 E Harvard St
Ste 103
Glendale, CA 91205-1045

Care Compare: Home health agency

Medicare Care Compare
Listed as
Harvard Home Health, IncCCN 757735 · All quality measures
Ownership
-
Certified
Aug 21, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

415 E Harvard St
Ste 103
Glendale, CA 91205
Phone (747) 301-3252

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
Harvard Holdings Inc Organization, Glendale, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Mar 1, 2022 100%
Artur Aghayan Individual 5% Or Greater Indirect Ownership InterestCeo / Cfo / Secretary Mar 1, 2022 100%
Corporate OfficerCeo / Cfo / Secretary Mar 1, 2022 100%
Corporate DirectorCeo / Cfo / Secretary Mar 1, 2022 100%
W-2 Managing EmployeeCeo / Cfo / Secretary Mar 1, 2022 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": "1647043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647043200000",
    "number": "1316695091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARVARD ST STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051045",
            "telephone_number": "747-301-3252",
            "fax_number": "747-301-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HARVARD ST STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051045",
            "telephone_number": "747-301-3252",
            "fax_number": "747-301-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A",
        "authorized_official_last_name": "AGHAYAN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-301-3252"
    },
    "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.