Organization Active NPI

Olivia'S Home Health Care, Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1336890045
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OLIVIA'S HOME HEALTH CARE, INC
Practice address
121 W Lexington Dr Ste L400F
Glendale, CA 91203-2203
Phone
(818) 480-6569
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Hilda Chobanian
Title
Cfo
Phone
(818) 480-6569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

121 W Lexington Dr Ste L400F
Glendale, CA 91203-2203

Mailing address

121 W Lexington Dr Ste L400F
Glendale, CA 91203-2203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230821002432 CA Part A Provider - Home Health Agency 3072975176 Practice locations: Glendale, CA

Home health agency certification: CCN 757404

Legal name
OLIVIA'S HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 29, 2023
Last certification
Sep 29, 2023
Organization structure
CorporationProprietary
Incorporated
Sep 9, 2021 in CA
Enrollment address
121 W Lexington Dr
Ste L400F
Glendale, CA 91203-2230

Care Compare: Home health agency

Medicare Care Compare
Listed as
Olivia'S Home Health Care, IncCCN 757404 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Sep 29, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

121 W Lexington Dr
Ste L400F
Glendale, CA 91203
Phone (818) 330-9523

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
Hilda Chobanian Individual 5% Or Greater Direct Ownership InterestCfo Sep 9, 2021 50%
Corporate OfficerCfo Sep 9, 2021 50%
Corporate DirectorCfo Sep 9, 2021 50%
Marcar Shadarevian Individual 5% Or Greater Direct Ownership InterestCeo Sep 9, 2021 50%
Corporate OfficerCeo Sep 9, 2021 50%
Corporate DirectorCeo Sep 9, 2021 50%
W-2 Managing EmployeeCeo Sep 9, 2021 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1336890045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE L400F",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE L400F",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032203",
            "telephone_number": "818-480-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA'S HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "CHOBANIAN",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-480-6569"
    },
    "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.