Organization Active NPI

Lily Garden Health Services

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1417603986
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LILY GARDEN HEALTH SERVICES
Practice address
815 S Central Ave Ste 15
Glendale, CA 91204-2084
Phone
(818) 484-5183
Fax
(818) 484-5185
NPI assigned
Feb 23, 2022
Last updated
Feb 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Sarkis Minasyan
Title
Cfo,Ceo,Secretary
Phone
(818) 484-5183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

815 S Central Ave Ste 15
Glendale, CA 91204-2084

Mailing address

815 S Central Ave Ste 15
Glendale, CA 91204-2084
Phone (818) 484-5183

National Provider Directory

National Provider Directory

Locations

815 S Central Ave
Ste 15
Glendale, CA 91204
Phone (818) 484-5183

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1417603986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S CENTRAL AVE STE 15",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042084",
            "telephone_number": "818-484-5183",
            "fax_number": "818-484-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S CENTRAL AVE STE 15",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042084",
            "telephone_number": "818-484-5183",
            "fax_number": "818-484-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY GARDEN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MINASYAN",
        "authorized_official_first_name": "SARKIS",
        "authorized_official_title_or_position": "CFO,CEO,SECRETARY",
        "authorized_official_telephone_number": "818-484-5183"
    },
    "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 Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.