Wisdom Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WISDOM HOME HEALTH CARE INC

Practice address

1522 W Glenoaks Blvd Unit H
Glendale, CA 91201-1913

Phone

(818) 484-0828

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Martin Mkrtchyan

Title

Ceo/Cfo President

Phone

(818) 484-0828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757821

Legal name

WISDOM HOME HEALTH CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 26, 2024

Last certification

Nov 20, 2024

Organization structure

CorporationProprietary

Incorporated

Jan 1, 2022 in CA

Enrollment address

1522 W Glenoaks Blvd
Ste H
Glendale, CA 91201-1913

Listed as

Wisdom Home Health Care Inc.CCN 757821

Ownership

-

Certified

Nov 26, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1588315345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 W GLENOAKS BLVD UNIT H",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011913",
            "telephone_number": "818-484-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 W GLENOAKS BLVD UNIT H",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011913",
            "telephone_number": "818-484-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "MKRTCHYAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO/CFO PRESIDENT",
        "authorized_official_telephone_number": "818-484-0828"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Windsor Surgery Center of Glendale LLC
• Yaling Winfrey
• Earnest Winston
• Michael S Winston, MD
• Wint Hun Inc
• Wisdom Hospice Care Inc
• Wise Home Health Inc
• Wise Hospice Care, Inc.
• Wise Hospice Inc
• Wise Years Home Health Inc

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.