Patriot Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001381 Issued in CA

Legal business name

PATRIOT HOME HEALTH CARE INC

Practice address

440 W Colorado St
Ste 215
Glendale, CA 91204-1541

Phone

(818) 551-0757

Fax

(818) 551-0304

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Achot Mkrtchian

Title

Ceo

Phone

(818) 551-0757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059318

Legal name

PATRIOT HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 21, 2011

Last certification

Nov 20, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 10, 2008 in CA

Enrollment address

440 W Colorado St
Ste 215
Glendale, CA 91204-3065

Listed as

Patriot Home Health Care, IncCCN 059318

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Jul 21, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1528200425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W COLORADO ST",
            "address_2": "STE 215",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041541",
            "telephone_number": "818-551-0757",
            "fax_number": "818-551-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W COLORADO ST",
            "address_2": "STE 215",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041541",
            "telephone_number": "818-551-0757",
            "fax_number": "818-551-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "MKRTCHIAN",
        "authorized_official_first_name": "ACHOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-551-0757"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.

Verify at the official NPI Registry.