Organization Active NPI

Alfa Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1457068553
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALFA HOME HEALTH, INC.
Practice address
1314 W Glenoaks Blvd Ste 106B
Glendale, CA 91201-1978
Phone
(818) 565-8008
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Karine Grigoryan
Title
Ceo
Phone
(818) 565-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1314 W Glenoaks Blvd Ste 106B
Glendale, CA 91201-1978

Mailing address

1314 W Glenoaks Blvd Ste 106B
Glendale, CA 91201-1978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230503001926 CA Part A Provider - Home Health Agency 3274998810 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457068553. Details of each certification follow.

Home health agency certification: CCN 757752

Legal name
ALFA HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 26, 2024
Last certification
Jun 20, 2024
Organization structure
CorporationProprietary
Incorporated
Nov 1, 2021 in CA
Enrollment address
1314 W Glenoaks Blvd
Ste 106B
Glendale, CA 91201-1978

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alfa Home Health, Inc.CCN 757752 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Jun 26, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1314 W Glenoaks Blvd
Ste 106B
Glendale, CA 91201
Phone (818) 565-8008

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
Karine Grigoryan Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Corporate OfficerCeo/President/Cfo/Secretary Nov 1, 2021 100%
Corporate DirectorCeo/President/Cfo/Secretary Nov 1, 2021 100%
W-2 Managing EmployeeCeo/President/Cfo/Secretary Nov 1, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1457068553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 W GLENOAKS BLVD STE 106B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 W GLENOAKS BLVD STE 106B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011978",
            "telephone_number": "818-565-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-565-8008"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.