Organization Active NPI

Radium Home Health Care, Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1407326796
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RADIUM HOME HEALTH CARE, INC
Practice address
127 S Brand Blvd Ste 326
Glendale, CA 91204-1389
Phone
(818) 900-9096
Fax
(818) 900-9026
NPI assigned
Nov 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Tigran Yuzbashyan
Title
Ceo
Phone
(818) 900-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

127 S Brand Blvd Ste 326
Glendale, CA 91204-1389

Mailing address

127 S Brand Blvd Ste 326
Glendale, CA 91204-1389
Phone (818) 900-9096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200212001872 CA Part A Provider - Home Health Agency 8022444975 Practice locations: Glendale, CA

Home health agency certification: CCN 559473

Legal name
RADIUM HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 12, 2021
Last certification
Mar 12, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 16, 2018 in CA
Enrollment address
127 S Brand Blvd
Ste 326
Glendale, CA 91204-1389

Care Compare: Home health agency

Medicare Care Compare
Listed as
Radium Home Health Care IncCCN 559473
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 12, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

127 S Brand Blvd
Ste 326
Glendale, CA 91204
Phone (818) 900-9096

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
Leoncia Roxas Individual 5% Or Greater Direct Ownership Interest Mar 20, 2024 100%
Corporate OfficerPresident Mar 20, 2024 100%
Melissa Gregorian Individual W-2 Managing EmployeeAd; May 20, 2024 100%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1407326796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 326",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041389",
            "telephone_number": "818-900-9096",
            "fax_number": "818-900-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 326",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041389",
            "telephone_number": "818-900-9096",
            "fax_number": "818-900-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIUM HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "YUZBASHYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-900-9096"
    },
    "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.