Organization Active NPI

Avg Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1528440799
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVG HOME HEALTH CARE, INC.
Practice address
725 S Glendale Ave
Unit E
Glendale, CA 91205-2395
Phone
(818) 602-0222
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Mr. Artyom Voskerchyan
Title
President/Ceo
Phone
(818) 602-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

725 S Glendale Ave
Unit E
Glendale, CA 91205-2395

Mailing address

725 S Glendale Ave
Unit E
Glendale, CA 91205-2395
Phone (818) 602-0222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151102000178 CA Part A Provider - Home Health Agency 3274843453 Practice locations: Glendale, CA

Home health agency certification: CCN 553136

Legal name
AVG HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 21, 2018
Last certification
Sep 21, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Incorporated
Jun 9, 2015 in CA
Enrollment address
725 S Glendale Ave
Unit E
Glendale, CA 91205-2395
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Avg Home Health Care, Inc.CCN 553136
Overall star rating
5 of 5
Ownership
Non-Profit
Certified
Sep 21, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
05D2141337Avg Home Health Care, Inc725 S Glendale Ave Unit E, Glendale, CA 91205Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory

Locations

725 S Glendale Ave
Ste E
Glendale, CA 91205
Phone (818) 602-0222

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
Artyom Voskerchyan Individual 5% Or Greater Direct Ownership InterestOwner Jan 14, 2022 100%
Corporate OfficerPresident/Ceo Jan 14, 2022 100%
Corporate DirectorChairman of the Board Jan 14, 2022 100%
W-2 Managing EmployeeOffice Manager Jan 14, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1528440799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S GLENDALE AVE",
            "address_2": "UNIT E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052395",
            "telephone_number": "818-602-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S GLENDALE AVE",
            "address_2": "UNIT E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052395",
            "telephone_number": "818-602-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVG HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "VOSKERCHYAN",
        "authorized_official_first_name": "ARTYOM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-602-0222",
        "authorized_official_name_prefix": "Mr."
    },
    "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.