Organization Active NPI

Daily Life Home Health Care, Inc.

  • Home Health Agency
  • Arcadia, CA
National Provider Identifier
1326625427
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DAILY LIFE HOME HEALTH CARE, INC.
Practice address
324 E Foothill Blvd Ste 101
Arcadia, CA 91006-2584
Phone
(626) 800-0107
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Arsen Godelekyan
Title
Ceo
Phone
(626) 800-0107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

324 E Foothill Blvd Ste 101
Arcadia, CA 91006-2584

Mailing address

324 E Foothill Blvd Ste 101
Arcadia, CA 91006-2584
Phone (626) 800-0107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220404000215 CA Part A Provider - Home Health Agency 5991191751 Practice locations: Arcadia, CA

Home health agency certification: CCN 757278

Legal name
DAILY LIFE HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 25, 2023
Last certification
May 25, 2023
Organization structure
CorporationProprietary
Incorporated
Feb 9, 2021 in CA
Enrollment address
324 E Foothill Blvd
Ste 101
Arcadia, CA 91006-2584

Care Compare: Home health agency

Medicare Care Compare
Listed as
Daily Life Home Health Care, IncCCN 757278
Ownership
-
Certified
May 25, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

324 E Foothill Blvd
Ste 101
Arcadia, CA 91006
Phone (626) 800-0107

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
Arsen Godelekyan Individual 5% Or Greater Direct Ownership Interest Feb 9, 2021 100%
Corporate Officer Feb 9, 2021
Corporate Director Feb 9, 2021
W-2 Managing Employee Feb 9, 2021

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1326625427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E FOOTHILL BLVD STE 101",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062584",
            "telephone_number": "626-800-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E FOOTHILL BLVD STE 101",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062584",
            "telephone_number": "626-800-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILY LIFE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "GODELEKYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-800-0107"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.