Core Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CORE HOME HEALTH AGENCY, INC.

Practice address

421 Arden Ave
Suite B
Glendale, CA 91203-4008

Phone

(818) 637-2673

Fax

(818) 484-2074

NPI assigned

Mar 3, 2010

Last updated

Jun 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guram Margalitzade

Title

Chief Executive Officer

Phone

(818) 637-2673

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1578886651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 ARDEN AVE",
            "address_2": "SUITE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034008",
            "telephone_number": "818-637-2673",
            "fax_number": "818-484-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 ARDEN AVE",
            "address_2": "SUITE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034008",
            "telephone_number": "818-637-2673",
            "fax_number": "818-484-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "MARGALITZADE",
        "authorized_official_first_name": "GURAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-637-2673"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "059443",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendale, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.