Organization Active NPI

Health Spot Home Health

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1508588286
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH SPOT HOME HEALTH
Practice address
4121 Pennsylvania Ave Ste J
Glendale, CA 91214-3707
Phone
(323) 247-8089
Fax
(323) 375-9059
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Elmira Shukhyan
Title
Ceo
Phone
(818) 726-4638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4121 Pennsylvania Ave Ste J
Glendale, CA 91214-3707

Mailing address

4121 Pennsylvania Ave Ste J
Glendale, CA 91214-3707
Phone (323) 247-8089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250217002634 CA Part A Provider - Home Health Agency 1153841465 Practice locations: Glendale, CA

Home health agency certification: CCN 758049

Legal name
HEALTH SPOT HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 25, 2025
Last certification
Jul 25, 2025
Organization structure
CorporationProprietary
Enrollment address
4121 Pennsylvania Ave
Ste J
Glendale, CA 91214-3707

Care Compare: Home health agency

Medicare Care Compare
Listed as
Health Spot Home HealthCCN 758049
Ownership
-
Certified
Jul 25, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4121 Pennsylvania Ave
Ste J
La Crescenta, CA 91214
Phone (323) 247-8089

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
Elmira Shukhyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 7, 2022 100%
Corporate OfficerCeo Sep 7, 2022 100%
Corporate DirectorCeo Sep 7, 2022 100%
W-2 Managing EmployeeCeo Sep 7, 2022 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1508588286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 PENNSYLVANIA AVE STE J",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912143707",
            "telephone_number": "323-247-8089",
            "fax_number": "323-375-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 PENNSYLVANIA AVE STE J",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912143707",
            "telephone_number": "323-247-8089",
            "fax_number": "323-375-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SPOT HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "SHUKHYAN",
        "authorized_official_first_name": "ELMIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-726-4638"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.