Crystal Clear Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001047 Issued in CA

Legal business name

CRYSTAL CLEAR HOME HEALTH, INC.

Practice address

1016 E Broadway
Suite 109
Glendale, CA 91205-4532

Phone

(818) 241-7141

Fax

(818) 241-7165

NPI assigned

Jul 11, 2007

Last updated

Oct 4, 2010By 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

Mr. Nazar Bekaryan

Title

Ceo President

Phone

(818) 241-7141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588863583. Details of each certification follow.

• CCN 059195 Home health agency · Active · Details

Home health agency certification: CCN 059195

Legal name

CRYSTAL CLEAR HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 27, 2010

Last certification

Feb 22, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 18, 2007 in CA

Enrollment address

1016 E Broadway
Ste 109
Glendale, CA 91205-4537

Listed as

Crystal Clear Home Health, IncCCN 059195 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Mar 27, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Douglas Matthew Cochrane, M.D.

  • Emergency Medicine Physician
  • Chino, CA
  • NPI 1417991811

  Home health agency

  Care Compare affiliation
• Abid Arif Rizvi, M.D.

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1255582540

  Home health agency

  Care Compare affiliation
• Igor Gary Shlifer, D.O.

  • Internal Medicine Physician
  • Calabasas, CA
  • NPI 1295174860

  Home health agency

  Care Compare affiliation
• Kuixing Zhang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Fresno, CA
  • NPI 1982087110

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1588863583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY",
            "address_2": "SUITE 109",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054532",
            "telephone_number": "818-241-7141",
            "fax_number": "818-241-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY",
            "address_2": "SUITE 109",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054532",
            "telephone_number": "818-241-7141",
            "fax_number": "818-241-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "BEKARYAN",
        "authorized_official_first_name": "NAZAR",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "818-241-7141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Mark Niedo Cruz, PTA
• Mariela Cruz
• Michael Cruz
• Crystal Adult Day Health Care
• Crystal Care Home Health Services Inc.
• Crystal Hospice, Inc.
• Crystal Surgical Center
• Crystalcare Home Health, Inc
• CTSH Burbank, LLC (Care To Stay Home)
• Gilbert Cubias

• 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 Oct 4, 2010; 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.