Organization Active NPI

Oden Home Health, LLC

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1508267865
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550003993 Issued in CA
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

Updated by the provider on Apr 4, 2018

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Jun 9, 2014 in CA
Enrollment address
511 E Harvard St
Ste 8
Glendale, CA 91205-1184
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Oden Home Health, LLCCCN 559126 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 20, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

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
05D2143206Oden Home Health LLC511 E Harvard Ste 8, Glendale, CA 91205Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Harutyun Harutyunyan Individual 5% Or Greater Direct Ownership InterestPresident,Ceo/Cfo,Secretary Sep 1, 2024 100%
Corporate OfficerPresident,Ceo/Cfo,Secretary Sep 1, 2024 100%
Corporate DirectorPresident,Ceo/Cfo,Secretary Sep 1, 2024 100%
Operational/Managerial ControlPresident,/Ceo/Cfo, Seretary 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

Verify at the official NPI Registry.