Organization Active NPI

Lucent Home Health

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1336876556
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUCENT HOME HEALTH
Practice address
401 N Brand Blvd Ste 824
Glendale, CA 91203-4427
Phone
(818) 480-5782
NPI assigned
Aug 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Authorized official

Name
Lusine Rostomyam
Title
President,Ceo
Phone
(818) 480-5782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

401 N Brand Blvd Ste 824
Glendale, CA 91203-4427

Mailing address

401 N Brand Blvd Ste 824
Glendale, CA 91203-4427
Phone (818) 480-5782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241015000926 CA Part A Provider - Home Health Agency 5294267324 Practice locations: Glendale, CA

Home health agency certification: CCN 757990

Legal name
LUCENT HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 21, 2025
Last certification
May 21, 2025
Organization structure
CorporationProprietary
Incorporated
May 31, 2022 in CA
Enrollment address
401 N Brand Blvd
Ste 824
Glendale, CA 91203-4427
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lucent Home HealthCCN 757990
Ownership
-
Certified
May 21, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

401 N Brand Blvd
Ste 824
Glendale, CA 91203
Phone (818) 480-5782

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
Lusine Rostomyan Individual 5% Or Greater Direct Ownership InterestPresident,Ceo/Cfo,Secretary Sep 4, 2024 100%
Corporate OfficerPresident,Ceo/Cfo,Secretary Sep 4, 2024 100%
Corporate DirectorPresident,Ceo/Cfo,Secretary Sep 4, 2024 100%
Operational/Managerial ControlPresident,/Ceo/Cfo, Seretary Sep 4, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659830400000",
    "number": "1336876556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE 824",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427",
            "telephone_number": "818-480-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE 824",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427",
            "telephone_number": "818-480-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENT HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A",
        "authorized_official_last_name": "ROSTOMYAM",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "PRESIDENT,CEO",
        "authorized_official_telephone_number": "818-480-5782"
    },
    "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.