Organization Active NPI

Your Homecare Service, Inc.

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1598321796
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
YOUR HOMECARE SERVICE, INC.
Practice address
1575 N Lake Ave Ste 203
Pasadena, CA 91104-2340
Phone
(626) 385-6665
NPI assigned
May 13, 2019
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Hovanes Potikyan
Title
Ceo
Phone
(626) 389-3515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1575 N Lake Ave Ste 203
Pasadena, CA 91104-2340

Mailing address

1575 N Lake Ave Ste 203
Pasadena, CA 91104-2340
Phone (626) 389-3515

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201002000525 CA Part A Provider - Home Health Agency 1052730553 Practice locations: Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598321796. Details of each certification follow.

Home health agency certification: CCN 559430

Legal name
YOUR HOMECARE SERVICE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 10, 2020
Last certification
Dec 10, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
1575 N Lake Ave
Ste 203
Pasadena, CA 91104-2340

Care Compare: Home health agency

Medicare Care Compare
Listed as
Your Homecare Service, IncCCN 559430 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Dec 10, 2020
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

1575 N Lake Ave
Ste 203
Pasadena, CA 91104
Phone (626) 385-6665

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
Hovanes Potikyan Individual 5% Or Greater Direct Ownership InterestCeo May 22, 2025 100%
Corporate OfficerCeo May 22, 2025 100%
Corporate DirectorCeo May 22, 2025 100%
W-2 Managing EmployeeCeo May 22, 2025 100%

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1598321796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 N LAKE AVE STE 203",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042340",
            "telephone_number": "626-389-3515",
            "fax_number": "626-389-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N LAKE AVE STE 203",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042340",
            "telephone_number": "626-385-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HOMECARE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "POTIKYAN",
        "authorized_official_first_name": "HOVANES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-389-3515"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.