Organization Active NPI

Purelife Home Health Inc

  • Home Health Agency
  • Duarte, CA
National Provider Identifier
1417705963
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURELIFE HOME HEALTH INC
Practice address
1851 Huntington Dr Unit 111
Duarte, CA 91010-2635
Phone
(626) 610-6291
NPI assigned
May 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Dzovinar Garabet
Title
Ceo
Phone
(626) 610-6291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1851 Huntington Dr Unit 111
Duarte, CA 91010-2635

Mailing address

1851 Huntington Dr Unit 111
Duarte, CA 91010-2635
Phone (626) 610-6291

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250303001385 CA Part A Provider - Home Health Agency 0547781916 Practice locations: Duarte, CA

Home health agency certification: CCN 758055

Legal name
PURELIFE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 13, 2025
Last certification
Jun 13, 2025
Organization structure
CorporationProprietary
Enrollment address
1851 Huntington Dr
Unit 111
Duarte, CA 91010-2635

Care Compare: Home health agency

Medicare Care Compare
Listed as
Purelife Home Health, Inc.CCN 758055 · All quality measures
Ownership
-
Certified
Jun 13, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1851 Huntington Dr
Unit 111
Duarte, CA 91010
Phone (626) 531-6025

Ownership & related parties

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.

NameRoleSinceShare
Dzovinar Garabet Individual 5% Or Greater Direct Ownership InterestCeo Apr 16, 2024 100%
Corporate OfficerCeo Apr 16, 2024 100%
Corporate DirectorCeo Apr 16, 2024 100%
W-2 Managing EmployeeAd; Apr 16, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1417705963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 HUNTINGTON DR UNIT 111",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102635",
            "telephone_number": "626-610-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 HUNTINGTON DR UNIT 111",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102635",
            "telephone_number": "626-610-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURELIFE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "GARABET",
        "authorized_official_first_name": "DZOVINAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-610-6291"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

Verify at the official NPI Registry.