NPIMap

Organization Active NPI

Crown Home Care Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1528540754
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CROWN HOME CARE INC
Practice address
1007 S Central Ave Ste 202
Glendale, CA 91204-3946
Phone
(818) 696-9229
Fax
(818) 696-9230
NPI assigned
Sep 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Avetis Ordakian
Title
Cfo
Phone
(818) 696-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1007 S Central Ave Ste 202
Glendale, CA 91204-3946

Mailing address

1007 S Central Ave Ste 202
Glendale, CA 91204-3946
Phone (818) 696-9229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181120000348 CA Part A Provider - Home Health Agency 0941554406 Practice locations: Glendale, CA

Home health agency certification: CCN 559419

Legal name
CROWN HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 9, 2020
Last certification
Oct 9, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
124 S Glendale Ave
Ste a
Glendale, CA 91205-1109
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Crown Home Care, IncCCN 559419
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Oct 9, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

124 S Glendale Ave
Ste A
Glendale, CA 91205
Phone (818) 696-9229

1007 S Central Ave
Ste 202
Glendale, CA 91204
Phone (818) 696-9229

501 W Glenoaks Blvd
Ste 202A
Glendale, CA 91202
Phone (818) 696-9229

Ownership & related parties

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.

NameRoleSinceShare
Avetis Ordakian Individual 5% Or Greater Direct Ownership InterestCfo Sep 1, 2018 50%
Corporate OfficerCfo, Board Member Sep 1, 2018 50%
Corporate DirectorCfo, Board Member Sep 1, 2018 50%
W-2 Managing EmployeeCfo, Board Member Sep 1, 2018 50%
Lusine Apikyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 1, 2018 50%
Corporate OfficerCeo, Board Member Sep 1, 2018 50%
Corporate DirectorCeo, Board Member Sep 1, 2018 50%
W-2 Managing EmployeeCeo, Board Member Sep 1, 2018 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Lusine Apikyan, N.P.
    • Adult Health Nurse Practitioner
    • Los Angeles, CA
    • NPI 1497176705

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1528540754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 S CENTRAL AVE STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043946",
            "telephone_number": "818-696-9229",
            "fax_number": "818-696-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S CENTRAL AVE STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043946",
            "telephone_number": "818-696-9229",
            "fax_number": "818-696-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "ORDAKIAN",
        "authorized_official_first_name": "AVETIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-696-9229"
    },
    "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.