Active NPI
Radium Home Health Care, Inc
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 12, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Leoncia Roxas | 5% Or Greater Direct Ownership Interest | Mar 20, 2024 | 100% |
| Corporate Officer | Mar 20, 2024 | 100% | |
| Melissa Gregorian | W-2 Managing Employee | 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.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1689732935
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Van Nuys, CA
- NPI 1831128230
Home health agency
-
- Geriatric Medicine (Internal Medicine) Physician
- Northridge, CA
- NPI 1851380992
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.