Active NPI
Oden Home Health, LLC
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550003993
- Legal business name
- ODEN HOME HEALTH, LLC
- Practice address
- 511 E Harvard St Ste 8
Glendale, CA 91205-1184 - Phone
- (818) 649-1335
- Fax
- (818) 649-1336
- NPI assigned
- Sep 5, 2014
- 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
- Anna Arutyunyan
- Title
- President
- Phone
- (818) 649-1335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550003993 | CA | Primary |
Addresses
Primary practice location
511 E Harvard St Ste 8
Glendale, CA 91205-1184
Mailing address
511 E Harvard St Ste 8
Glendale, CA 91205-1184
Phone (818) 649-1335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181101000272 | CA | Part A Provider - Home Health Agency | 6204189657 | Practice locations: Glendale, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508267865. Details of each certification follow.
Home health agency certification: CCN 559126
- Legal name
- ODEN HOME HEALTH, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 20, 2019
- Last certification
- Dec 20, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jun 9, 2014 in CA
- Enrollment address
- 511 E Harvard St
Ste 8
Glendale, CA 91205-1184
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Oden Home Health, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 20, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, 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 |
|---|---|---|---|
| 05D2143206 | Oden Home Health LLC | Certificate of waiver | Jan 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
511 E Harvard St
Ste 8
Glendale, CA 91205
Phone (818) 649-1335
Ownership & related parties
All disclosed owners & managing parties 1
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 |
|---|---|---|---|
| Harutyun Harutyunyan | 5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 100% |
| Corporate Officer | Sep 1, 2024 | 100% | |
| Corporate Director | Sep 1, 2024 | 100% | |
| Operational/Managerial Control | Sep 1, 2024 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1409875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522800000000",
"number": "1508267865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E HARVARD ST STE 8",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051184",
"telephone_number": "818-649-1335",
"fax_number": "818-649-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E HARVARD ST STE 8",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051184",
"telephone_number": "818-649-1335",
"fax_number": "818-649-1336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODEN HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-05",
"last_updated": "2018-04-04",
"status": "A",
"authorized_official_last_name": "ARUTYUNYAN",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-649-1335"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550003993",
"primary": true
}
],
"identifiers": [],
"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 Apr 4, 2018; 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.