Organization Active NPI

Alpha Home Health Agency

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1558852418
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALPHA HOME HEALTH AGENCY
Practice address
1220 W Glenoaks Blvd Ste 201
Glendale, CA 91201-4101
Phone
(747) 609-1000
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Armen Vahanyan
Title
Ceo
Phone
(747) 606-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1220 W Glenoaks Blvd Ste 201
Glendale, CA 91201-4101

Mailing address

1220 W Glenoaks Blvd Ste 201
Glendale, CA 91201-4101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190918001242 CA Part A Provider - Home Health Agency 6406186451 Practice locations: Glendale, CA

Home health agency certification: CCN 559136

Legal name
ALPHA HOME HEALTH AGENCY
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
CorporationProprietary
Enrollment address
1220 W Glenoaks Blvd
Ste 201
Glendale, CA 91201-4101

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alpha Home Health AgencyCCN 559136 · All quality measures
Overall star rating
4 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, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1220 W Glenoaks Blvd
Ste 201
Glendale, CA 91201
Phone (747) 609-1000

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
Artur Ghukasyan Individual 5% Or Greater Direct Ownership InterestCeo Jul 18, 2017 100%
Corporate OfficerCeo Jul 18, 2017 100%
Corporate DirectorCeo Jul 18, 2017 100%
W-2 Managing EmployeeCeo Jul 18, 2017 100%
Operational/Managerial ControlCeo Jun 1, 2019 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": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1558852418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W GLENOAKS BLVD STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W GLENOAKS BLVD STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014101",
            "telephone_number": "747-609-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "VAHANYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-606-1000"
    },
    "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.