Organization Active NPI

Crystalcare Home Health, Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1497985576
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 14, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
251E00000XOther251E00000X

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
05D1104923Crystalcare Home Health, Inc442 W Broadway, Glendale, CA 91204Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.