Organization Active NPI

Benevolent Home Health, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1588178867
Registry record updated Nov 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BENEVOLENT HOME HEALTH, INC.
Practice address
221 W Alameda Ave Ste 201
Burbank, CA 91502-3032
Phone
(818) 302-7575
NPI assigned
Nov 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2017

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

Authorized official

Name
Mrs. Armine Bakhtamyan
Title
Ceo
Phone
(818) 302-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

221 W Alameda Ave Ste 201
Burbank, CA 91502-3032

Mailing address

221 W Alameda Ave Ste 201
Burbank, CA 91502-3032
Phone (818) 302-7575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180525000043 CA Part A Provider - Home Health Agency 4789949637 Practice locations: Burbank, CA

Home health agency certification: CCN 559059

Legal name
BENEVOLENT HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 26, 2019
Last certification
Sep 26, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 19, 2017 in CA
Enrollment address
2405 W Burbank Blvd
Burbank, CA 91506-1237
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Benevolent Home Health, IncCCN 559059 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 26, 2019
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
05D2165379Benevolent Home Health, Inc221 W Alameda Avenue, Suite 201, Burbank, CA 91502Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Locations

2405 W Burbank Blvd
Burbank, CA 91506
Phone (818) 302-7575

221 W Alameda Ave
Ste 201
Burbank, CA 91502
Phone (818) 302-7575

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eugenia Ten Individual W-2 Managing EmployeeDopcs/Administrator Designee Oct 19, 2017
Armine Bakhtamyan Individual 5% Or Greater Direct Ownership InterestOwner Oct 19, 2017 100%
Alexander Reichman Individual Corporate DirectorDopcs/Administrator Oct 19, 2017
W-2 Managing EmployeeDopcs/Administrator Oct 19, 2017

NPI Registry JSON

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511654400000",
    "number": "1588178867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W ALAMEDA AVE STE 201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915023032",
            "telephone_number": "818-302-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W ALAMEDA AVE STE 201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915023032",
            "telephone_number": "818-302-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-26",
        "last_updated": "2017-11-26",
        "status": "A",
        "authorized_official_last_name": "BAKHTAMYAN",
        "authorized_official_first_name": "ARMINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-302-7575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.