Organization Active NPI

Airmid Home Health Care, Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1568951903
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AIRMID HOME HEALTH CARE, INC
Practice address
412 W Broadway Ste 208
Glendale, CA 91204-1297
Phone
(818) 696-2800
Fax
(818) 696-2801
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Anna Tarlanyan
Title
Administrator
Phone
(818) 696-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

412 W Broadway Ste 208
Glendale, CA 91204-1297

Mailing address

412 W Broadway Ste 208
Glendale, CA 91204-1297
Phone (818) 696-2800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190813003416 CA Part A Provider - Home Health Agency 6103153150 Practice locations: Glendale, CA

Home health agency certification: CCN 559120

Legal name
AIRMID HOME HEALTH CARE INC
Doing business as
DBA SIMITREE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 10, 2019
Last certification
Dec 10, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
412 W Broadway
Ste 208
Glendale, CA 91204-1297

Care Compare: Home health agency

Medicare Care Compare
Listed as
Airmid Home Health Care, IncCCN 559120 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 10, 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

412 W Broadway
Ste 208
Glendale, CA 91204
Phone (818) 696-2800

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
Anna Tarlanyan Individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 100%
Corporate OfficerCeo/Cfo/Secretary/Administrator Mar 19, 2018 100%
Corporate DirectorCeo/Cfo/Secretary/Administrator Mar 19, 2018 100%
W-2 Managing EmployeeAd;Ceo/Cfo/Secretary Mar 19, 2018 100%

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1568951903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W BROADWAY STE 208",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041297",
            "telephone_number": "818-696-2800",
            "fax_number": "818-696-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W BROADWAY STE 208",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041297",
            "telephone_number": "818-696-2800",
            "fax_number": "818-696-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRMID HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "TARLANYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-696-2800"
    },
    "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.