Cristal Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CRISTAL HOME HEALTH

Practice address

4634 San Fernando Rd Suite a
Glendale, CA 91204

Phone

(818) 484-7845

NPI assigned

Apr 1, 2021

Last updated

Apr 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Avtis Terteryan

Title

Ceo

Phone

(818) 484-7845

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427636224. Details of each certification follow.

• CCN 757152 Home health agency · Active · Details

Home health agency certification: CCN 757152

Legal name

CRISTAL HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 24, 2023

Last certification

Feb 24, 2023

Organization structure

CorporationProprietary

Incorporated

Mar 11, 2019 in CA

Enrollment address

4634 San Fernando Rd
Ste a
Glendale, CA 91204-1822

Listed as

Cristal Home HealthCCN 757152 · All quality measures

Overall star rating

2 of 5

Ownership

-

Certified

Feb 24, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 4

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

• Eliza Sukhee Ahn, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1356450498

  Home health agency

  Care Compare affiliation
• Louis B Flores, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1760606123

  Home health agency

  Care Compare affiliation
• Galust Gary Halajyan, MD

  • Pediatric Anesthesiology Physician
  • Moreno Valley, CA
  • NPI 1629161385

  Home health agency

  Care Compare affiliation
• Suzanna Stepanian, NP

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1609585157

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1427636224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 SAN FERNANDO RD SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-484-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 SAN FERNANDO RD SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-484-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTAL HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "TERTERYAN",
        "authorized_official_first_name": "AVTIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-484-7845"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erika Crissman
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• Crnala, Inc
• Crosstown Care Med Transort, LLC
• Crown Home Care Inc
• Crowning Comfort Hospice Inc

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.