Idan Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IDAN HOME HEALTH INC

Practice address

620 W Route 66 Ste 200
Glendora, CA 91740-4173

Phone

(818) 334-0303

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Nelly Nalbandyan

Title

Ceo

Phone

(747) 272-8753

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757611

Legal name

IDAN HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 16, 2024

Last certification

Feb 16, 2024

Organization structure

CorporationProprietary

Incorporated

Nov 10, 2020 in CA

Enrollment address

620 W Route 66
Ste 200
Glendora, CA 91740-4173

Listed as

Idan Home Health, IncCCN 757611

Overall star rating

3 of 5

Ownership

-

Certified

Feb 16, 2024

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": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1346846029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 200",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 200",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "818-334-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAN HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "NALBANDYAN",
        "authorized_official_first_name": "NELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-272-8753"
    },
    "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 Glendora, CA
• Providers in Glendora, 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 Jun 23, 2026; 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.