Organization Active NPI

Mado Home Health Care Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1487248068
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MADO HOME HEALTH CARE INC
Practice address
127 S Brand Blvd Ste 204
Glendale, CA 91204-1372
Phone
(747) 237-9900
NPI assigned
Feb 24, 2021
Last updated
Feb 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Harutun Madoyan
Title
Ceo
Phone
(747) 237-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

127 S Brand Blvd Ste 204
Glendale, CA 91204-1372

Mailing address

127 S Brand Blvd Ste 204
Glendale, CA 91204-1372
Phone (747) 237-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220426002780 CA Part A Provider - Home Health Agency 5597152322 Practice locations: Montebello, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487248068. Details of each certification follow.

Home health agency certification: CCN 757065

Legal name
MADO HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 30, 2022
Last certification
Aug 26, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
1800 W Beverly Blvd
Ste 201
Montebello, CA 90640-3965
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mado Home Health Care, Inc.CCN 757065 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Aug 30, 2022
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

127 S Brand Blvd
Ste 204
Glendale, CA 91204
Phone (747) 237-9900

1800 W Beverly Blvd
Ste 201
Montebello, CA 90640
Phone (747) 215-9062

Ownership & related parties

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.

NameRoleSinceShare
Arsen Mkrtchyan Individual W-2 Managing EmployeeDPCS Jan 2, 2022
Harutun Madoyan Individual 5% Or Greater Direct Ownership InterestPresident Jan 30, 2021 100%
Corporate OfficerCfo Jan 30, 2021 100%
Corporate Director Jan 30, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1487248068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041372",
            "telephone_number": "747-237-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041372",
            "telephone_number": "747-237-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADO HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "MADOYAN",
        "authorized_official_first_name": "HARUTUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-237-9900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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.