Organization Active NPI

L & T Home Health Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1497415483
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
L & T HOME HEALTH INC
Practice address
127 S Brand Blvd Ste 208a
Glendale, CA 91204-1372
Phone
(747) 215-9101
NPI assigned
Dec 18, 2021
Last updated
Dec 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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

Authorized official

Name
Lilit Vardanyan
Title
Ceo
Phone
(747) 215-9101

Specialties & licenses 1

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

Addresses

Primary practice location

127 S Brand Blvd Ste 208a
Glendale, CA 91204-1372

Mailing address

127 S Brand Blvd Ste 208a
Glendale, CA 91204-1372

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230510002153 CA Part A Provider - Home Health Agency 2860858230 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497415483. Details of each certification follow.

Home health agency certification: CCN 757337

Legal name
L & T HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 21, 2023
Last certification
Jul 21, 2023
Organization structure
CorporationProprietary
Incorporated
Dec 1, 2021 in CA
Enrollment address
220 S Kenwood St
Ste 208
Glendale, CA 91205-1671

Care Compare: Home health agency

Medicare Care Compare
Listed as
L & T Home Health IncCCN 757337 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Jul 21, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

127 S Brand Blvd
Ste 208A
Glendale, CA 91204
Phone (747) 215-9101

220 S Kenwood St
Ste 208
Glendale, CA 91205
Phone (818) 396-4099

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
Ivane Stepanian Individual 5% Or Greater Direct Ownership InterestCfo Dec 1, 2021 50%
Corporate OfficerCfo Dec 1, 2021 50%
Corporate DirectorCfo Dec 1, 2021 50%
W-2 Managing EmployeeCfo Dec 1, 2021 50%
Lilit Vardanyan Individual 5% Or Greater Direct Ownership InterestCeo/Secretary Dec 1, 2021 50%
Corporate OfficerCeo/Secretary Dec 1, 2021 50%
Corporate DirectorCeo/Secretary Dec 1, 2021 50%
W-2 Managing EmployeeCeo/Secretary Dec 1, 2021 50%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1639785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639785600000",
    "number": "1497415483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 208A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 208A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041372",
            "telephone_number": "747-215-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & T HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-18",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "LILIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-215-9101"
    },
    "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.