Organization Active NPI

Blessed Heart Home Care, Inc.

  • Home Health Agency
  • Sylmar, CA
National Provider Identifier
1417353723
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLESSED HEART HOME CARE, INC.
Practice address
12610 Glenoaks Blvd
Unit 4B
Sylmar, CA 91342-4783
Phone
(818) 810-7780
Fax
(818) 322-4510
NPI assigned
Nov 13, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Kamo Muradyan
Title
Ceo
Phone
(818) 810-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12610 Glenoaks Blvd
Unit 4B
Sylmar, CA 91342-4783

Mailing address

12610 Glenoaks Blvd
Unit 4B
Sylmar, CA 91342-4783
Phone (818) 810-7780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141229000188 CA Part A Provider - Home Health Agency 4082937925 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417353723. Details of each certification follow.

Home health agency certification: CCN 553126

Legal name
BLESSED HEART HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 7, 2018
Last certification
Sep 7, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 15, 2014 in CA
Enrollment address
353 E Angeleno Ave
Ste J
Burbank, CA 91502-1310

Care Compare: Home health agency

Medicare Care Compare
Listed as
Blessed Heart Home Care, IncCCN 553126 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 7, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2233270Blessed Heart Home Care Inc353 E Angeleno Ave Ste J, Burbank, CA 91502Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory

Locations

353 E Angeleno Ave
Ste J
Burbank, CA 91502
Phone (818) 556-3611

12610 Glenoaks Blvd
#4B
Sylmar, CA 91342
Phone (818) 810-7780

12610 Glenoaks Blvd
Unit 4B
Sylmar, CA 91342
Phone (818) 810-7780

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
Eranui Boyadzhyan Individual W-2 Managing EmployeeDPCS/Administrator Oct 29, 2014
Kamo Muradyan Individual 5% Or Greater Direct Ownership Interest Sep 15, 2014 100%
Corporate OfficerCeo/Cfo/Secretary Sep 15, 2014 100%
Corporate DirectorCeo/Cfo/Secretary Sep 15, 2014 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Sep 15, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1417353723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 GLENOAKS BLVD",
            "address_2": "UNIT 4B",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424783",
            "telephone_number": "818-810-7780",
            "fax_number": "818-322-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 GLENOAKS BLVD",
            "address_2": "UNIT 4B",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424783",
            "telephone_number": "818-810-7780",
            "fax_number": "818-322-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HEART HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MURADYAN",
        "authorized_official_first_name": "KAMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-810-7780"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.