Glenwood Home Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GLENWOOD HOME INC

Practice address

639 S Glenwood PL Unit 116
Burbank, CA 91506-2819

Phone

(818) 813-5541

Fax

(818) 394-6410

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Levon Patanyan

Title

Ceo

Phone

(818) 813-5541

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559741

Legal name

GLENWOOD HOME INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 7, 2021

Last certification

Dec 7, 2021

Organization structure

CorporationProprietary

Enrollment address

425 S Victory Blvd
Ste D
Burbank, CA 91502-2394

Listed as

Glenwood Home, Inc.CCN 559741

Overall star rating

2.5 of 5

Ownership

-

Certified

Dec 7, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1336745546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S GLENWOOD PL UNIT 116",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062819",
            "telephone_number": "818-813-5541",
            "fax_number": "818-394-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S GLENWOOD PL UNIT 116",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062819",
            "telephone_number": "818-813-5541",
            "fax_number": "818-394-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "PATANYAN",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-813-5541"
    },
    "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 Burbank, CA
• Providers in Burbank, 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 Dec 11, 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.