Organization Active NPI

Veranda Home Health Care Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1487260360
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VERANDA HOME HEALTH CARE INC
Practice address
1220 W Glenoaks Blvd # 204a
Glendale, CA 91201-2231
Phone
(186) 363-6758
Fax
(818) 688-0191
NPI assigned
Sep 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Artashes Grigoryan
Title
Ceo
Phone
(818) 636-3675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1220 W Glenoaks Blvd # 204a
Glendale, CA 91201-2231

Mailing address

1220 W Glenoaks Blvd # 204a
Glendale, CA 91201-2231
Phone (186) 363-6758

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220909000827 CA Part A Provider - Home Health Agency 9830578426 Practice locations: Glendale, CA

Home health agency certification: CCN 757696

Legal name
VERANDA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 29, 2024
Last certification
May 22, 2024
Organization structure
CorporationProprietary
Enrollment address
1220 W Glenoaks Blvd
Ste 204a
Glendale, CA 91201-2231

Care Compare: Home health agency

Medicare Care Compare
Listed as
Veranda Home Health Care IncCCN 757696 · All quality measures
Ownership
-
Certified
May 29, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1220 W Glenoaks Blvd
#204A
Glendale, CA 91201

1220 W Glenoaks Blvd
Ste 204A
Glendale, CA 91201
Phone (818) 636-3675

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
Armine Kirakosyan Individual W-2 Managing EmployeeAd;DPCS Apr 1, 2026
Vanoosh Amirian Individual 5% Or Greater Direct Ownership Interest Jul 16, 2020 100%
Corporate OfficerCeo Jul 16, 2020 100%
Corporate DirectorCeo Jul 16, 2020 100%
W-2 Managing EmployeeCeo Jul 16, 2020 100%

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1487260360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W GLENOAKS BLVD # 204A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012231",
            "telephone_number": "186-363-6758",
            "fax_number": "818-688-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W GLENOAKS BLVD # 204A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012231",
            "telephone_number": "186-363-6758",
            "fax_number": "818-688-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERANDA HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "ARTASHES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-636-3675"
    },
    "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.