Healthline Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHLINE HOME HEALTH AGENCY, INC.

Practice address

127 S Brand Blvd Ste 302
Glendale, CA 91204-1388

Phone

(818) 305-5705

NPI assigned

Feb 14, 2022

Last updated

Sep 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gayane Bezhanyan

Title

Ceo

Phone

(818) 305-5705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487309894. Details of each certification follow.

• CCN 757689 Home health agency · Active · Details

Home health agency certification: CCN 757689

Legal name

HEALTHLINE HOME HEALTH AGENCY, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 22, 2024

Last certification

Jul 12, 2024

Organization structure

CorporationProprietary

Incorporated

Jan 17, 2022 in CA

Enrollment address

127 S Brand Blvd
Ste 302
Glendale, CA 91204-1388

Listed as

Healthline Home Health Agency, Inc.CCN 757689 · All quality measures

Ownership

-

Certified

Jul 22, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1487309894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041388",
            "telephone_number": "818-305-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINE HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "BEZHANYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-305-5705"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Trans Inc
• Healthcare Clinical Laboratory Inc.
• Healthcare Home Health Care Inc
• Healthier Lifestyle CMHC
• Healthier Lifestyle Medical Group Inc
• Healthmark Pharmacy, Inc. (San Jose Pharmacy)
• Healthplus RX
• Healthplus RX
• Healthpointe Medical Group, Inc.
• Healthride

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.