Organization Active NPI

Ingenious Home Health, Inc

  • Home Infusion Agency
  • Glendale, CA
National Provider Identifier
1447842190
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
INGENIOUS HOME HEALTH, INC
Practice address
725 S Glendale Ave Ste L
Glendale, CA 91205-4152
Phone
(626) 800-0118
NPI assigned
Feb 4, 2021
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Babken Avagyan
Title
Ceo
Phone
(626) 800-0118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU Primary

Addresses

Primary practice location

725 S Glendale Ave Ste L
Glendale, CA 91205-4152

Mailing address

725 S Glendale Ave Ste L
Glendale, CA 91205-4152
Phone (626) 800-0118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220418000634 CA Part A Provider - Home Health Agency 1951798149 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447842190. Details of each certification follow.

Home health agency certification: CCN 753128

Legal name
INGENIOUS HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 9, 2022
Last certification
Jun 9, 2022
Organization structure
CorporationProprietary
Incorporated
Mar 6, 2020 in CA
Enrollment address
725 S Glendale Ave
Ste L
Glendale, CA 91205-4152

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ingenious Home Health, IncCCN 753128 · All quality measures
Overall star rating
5 of 5
Ownership
-
Certified
Jun 9, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

725 S Glendale Ave
Ste L
Glendale, CA 91205
Phone (626) 800-0118

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
Babken Avagyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary Mar 6, 2020 100%
5% Or Greater Mortgage InterestCeo/Cfo/Secretary Mar 6, 2020 100%
Corporate OfficerCeo/Cfo/Secretary Mar 6, 2020 100%
Corporate DirectorCeo/Cfo/Secretary Mar 6, 2020 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Mar 6, 2020 100%

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1447842190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S GLENDALE AVE STE L",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054152",
            "telephone_number": "626-800-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S GLENDALE AVE STE L",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054152",
            "telephone_number": "626-800-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGENIOUS HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "AVAGYAN",
        "authorized_official_first_name": "BABKEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-800-0118"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.