Glenoaks Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GLENOAKS HOME HEALTH, INC.

Practice address

1524 W Glenoaks Blvd Ste a
Glendale, CA 91201-1913

Phone

(818) 246-2121

NPI assigned

Jun 19, 2019

Organization subpart

No

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

Authorized official

Name

Adrina Agakhanyan

Title

Ceo

Phone

(818) 246-2121

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447810668. Details of each certification follow.

• CCN 559262 Home health agency · Active · Details

Home health agency certification: CCN 559262

Legal name

GLENOAKS HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 18, 2020

Last certification

May 18, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

1524 W Glenoaks Blvd
Ste a
Glendale, CA 91201-1913

Listed as

Glenoaks Home Health, IncCCN 559262 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

May 18, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Affiliated clinicians 6

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

• Abdallah Nazmi Abu-Samrah, M.D

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1699031450

  Home health agency

  Care Compare affiliation
• Michael Arnstein, M.D.

  • Specialist
  • Torrance, CA
  • NPI 1821000100

  Home health agency

  Care Compare affiliation
• Siddhartha Chatterjee, D.O.

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1922476977

  Home health agency

  Care Compare affiliation
• Peter David Kopelevich, M.D.

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1659576742

  Home health agency

  Care Compare affiliation
• Mubashir Ahmed Sheikh, MD

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1912466996

  Home health agency

  Care Compare affiliation
• Patricia Sotolongo, DO

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1093176075

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587168000000",
    "number": "1447810668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W GLENOAKS BLVD STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011913",
            "telephone_number": "818-246-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W GLENOAKS BLVD STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011913",
            "telephone_number": "818-246-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENOAKS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A",
        "authorized_official_last_name": "AGAKHANYAN",
        "authorized_official_first_name": "ADRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-246-2121"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glendale West Drug Company Inc (Glendale West Pharmacy)
• Glendale West Pharmacy Inc (Glendale West Pharmacy)
• Glendale Whole Health
• Glenhaven Healthcare, LLC (GlenHaven Healthcare)
• Glenhills Home Health
• Glenoaks Imaging Professionals Inc
• Glenoaks Medical Center, Inc.
• Glenoaks Podiatry Group Inc
• Glenoaks Urgent Care Medical Group, Inc.
• Glenview Home Health, 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 18, 2020; 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.