Organization Active NPI

Advance Care Home Health Agency Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1497131650
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADVANCE CARE HOME HEALTH AGENCY INC
Practice address
805 N Central Ave
Glendale, CA 91203-1230
Phone
(818) 937-9257
Fax
(888) 893-9878
NPI assigned
Aug 10, 2015
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Naira Danielyan
Title
Ceo
Phone
(818) 937-9257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

805 N Central Ave
Glendale, CA 91203-1230

Mailing address

805 N Central Ave
Glendale, CA 91203-1230
Phone (818) 937-9257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151026001605 CA Part A Provider - Home Health Agency 0042529406 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497131650. Details of each certification follow.

Home health agency certification: CCN 553187

Legal name
ADVANCE CARE HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 5, 2019
Last certification
Feb 5, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 20, 2015 in CA
Enrollment address
805 N Central Ave
Glendale, CA 91203-1230

Care Compare: Home health agency

Medicare Care Compare
Listed as
Advance Care Home Health Agency, IncCCN 553187 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Feb 5, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2220052Advance Care Home Health Agency Inc805 North Central Avenue, Glendale, CA 91203Certificate of waiverApr 7, 2027

National Provider Directory

National Provider Directory

Locations

805 N Central Ave
Glendale, CA 91203
Phone (818) 937-9257

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
Naira Danielyan Individual 5% Or Greater Direct Ownership Interest Apr 20, 2015 100%
Corporate OfficerCeo/Secretary Apr 20, 2015 100%
Corporate DirectorCeo/Secretary Apr 20, 2015 100%
W-2 Managing EmployeeCeo/Secretary Apr 20, 2015 100%
Jeanette Cipriano Individual W-2 Managing EmployeeDPCS/Administrator Aug 12, 2015

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1497131650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031230",
            "telephone_number": "818-937-9257",
            "fax_number": "888-893-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031230",
            "telephone_number": "818-937-9257",
            "fax_number": "888-893-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "DANIELYAN",
        "authorized_official_first_name": "NAIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-937-9257"
    },
    "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.