Active NPI
Advance Care Home Health Agency Inc
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 5, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2220052 | Advance Care Home Health Agency Inc | Certificate of waiver | Apr 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Naira Danielyan | 5% Or Greater Direct Ownership Interest | Apr 20, 2015 | 100% |
| Corporate Officer | Apr 20, 2015 | 100% | |
| Corporate Director | Apr 20, 2015 | 100% | |
| W-2 Managing Employee | Apr 20, 2015 | 100% | |
| Jeanette Cipriano | W-2 Managing Employee | Aug 12, 2015 |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Personal Emergency Response Attendant
- Los Angeles, CA
- NPI 1700091378
Home health agency
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Hawthorne, CA
- NPI 1043446982
Home health agency
-
- Internal Medicine Physician
- Gardena, CA
- NPI 1164839775
Home health agency
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
- Nataliya Adjian, RPT
- Adjusted Life Chiropractic, Dr. Kristy Zinnes, Inc
- Adonai Home Health Care Inc
- Adrine Yadegarian, M.D., a Medical Corporation
- Adult Care Home Health Agency Inc.
- Advance Hospice Care, Inc.
- Advance Therapy Physical Therapy Clinic, Inc
- Advanced Eyecare Professional Optometric Group
- Advanced Global Healthcare Inc.
- Advanced Healthcare Specialists Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.