Organization Active NPI

Home Health 101 Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1447896519
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH 101 INC.
Practice address
3357 Cahuenga Blvd W Ste 26
Los Angeles, CA 90068-1327
Phone
(323) 613-8088
NPI assigned
Nov 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Lena Movsisyan
Title
Ceo
Phone
(323) 613-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3357 Cahuenga Blvd W Ste 26
Los Angeles, CA 90068-1327

Mailing address

3357 Cahuenga Blvd W Ste 26
Los Angeles, CA 90068-1327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200827000029 CA Part A Provider - Home Health Agency 2769803303 Practice locations: Glendale, CA

Home health agency certification: CCN 559388

Legal name
HOME HEALTH 101 INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 13, 2020
Last certification
Nov 13, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 1, 2019 in CA
Enrollment address
424 W Colorado St
Ste 104
Glendale, CA 91204-3098

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health 101 IncCCN 559388 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 13, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

424 W Colorado St
Ste 104
Glendale, CA 91204
Phone (323) 613-8088

3357 Cahuenga Blvd W
Ste 26
Los Angeles, CA 90068
Phone (323) 613-8088

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Henrik Vardanyan Individual 5% Or Greater Direct Ownership InterestCeo Nov 1, 2019 50%
Corporate OfficerCeo Nov 1, 2019
Corporate DirectorCeo Nov 1, 2019
W-2 Managing EmployeeCeo Nov 1, 2019
Mane Amirkhanyan Individual 5% Or Greater Direct Ownership InterestCeo Nov 1, 2019 50%
Corporate OfficerCeo Nov 1, 2019
Corporate DirectorCeo Nov 1, 2019
W-2 Managing EmployeeCeo Nov 1, 2019
Benita Petrosian Individual W-2 Managing EmployeeAd;DPCS Apr 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1447896519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 CAHUENGA BLVD W STE 26",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3357 CAHUENGA BLVD W STE 26",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681327",
            "telephone_number": "323-613-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH 101 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "MOVSISYAN",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-613-8088"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.