Active NPI
Crystalcare Home Health, Inc
- Home Health Agency
- Glendale, CA
National Provider Identifier
1497985576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CRYSTALCARE HOME HEALTH, INC
- Practice address
- 442 W Broadway
Glendale, CA 91204 - Phone
- (818) 956-8761
- Fax
- (818) 956-8026
- NPI assigned
- Jul 22, 2009
- 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
- Mr. Tereza Kuyumjyan
- Title
- Ceo
- Phone
- (818) 956-8761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
442 W Broadway
Glendale, CA 91204
Mailing address
442 W Broadway
Glendale, CA 91204
Phone (818) 956-8761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251E00000X | Other | 251E00000X |
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 |
|---|---|---|---|
| 05D1104923 | Crystalcare Home Health, Inc | Certificate of waiver | Oct 6, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360800000000",
"number": "1497985576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 W BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91204",
"telephone_number": "818-956-8761",
"fax_number": "818-956-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 W BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91204",
"telephone_number": "818-956-8761",
"fax_number": "818-956-8026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTALCARE HOME HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-22",
"last_updated": "2013-02-14",
"status": "A",
"authorized_official_last_name": "KUYUMJYAN",
"authorized_official_first_name": "TEREZA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-956-8761",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "251E00000X",
"identifier": "251E00000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.