Organization Active NPI

St Gregory Home Health Care

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1467188144
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST GREGORY HOME HEALTH CARE
Practice address
664 W Broadway Unit E
Glendale, CA 91204-1008
Phone
(628) 561-4136
Fax
(916) 790-5027
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Garik Hovhannisyan
Title
Ceo
Phone
(628) 561-4136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

664 W Broadway Unit E
Glendale, CA 91204-1008

Mailing address

664 W Broadway Unit E
Glendale, CA 91204-1008
Phone (628) 561-4136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241021000165 CA Part A Provider - Home Health Agency 9234671090 Practice locations: Glendale, CA

Home health agency certification: CCN 758089

Legal name
ST GREGORY HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 8, 2025
Last certification
Jul 31, 2025
Organization structure
CorporationProprietary
Enrollment address
664 W Broadway
Ste E
Glendale, CA 91204-1097
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
St. Gregory Home Health CareCCN 758089
Ownership
-
Certified
Aug 8, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

664 W Broadway
Ste E
Glendale, CA 91204
Phone (628) 561-4136

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
Garik Hovhannisyan Individual 5% Or Greater Direct Ownership InterestCeo Mar 16, 2022 100%
Corporate OfficerCeo Mar 16, 2022 100%
Corporate DirectorCeo Mar 16, 2022 100%
W-2 Managing EmployeeCeo Mar 16, 2022 100%

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": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1467188144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 W BROADWAY UNIT E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041008",
            "telephone_number": "628-561-4136",
            "fax_number": "916-790-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 W BROADWAY UNIT E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041008",
            "telephone_number": "628-561-4136",
            "fax_number": "916-790-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GREGORY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "GARIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "628-561-4136"
    },
    "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.