Active NPI
Apex Home Health Care, Inc
- Health Maintenance Organization
- Glendale, CA
National Provider Identifier
1609066067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 550000391
- Legal business name
- APEX HOME HEALTH CARE, INC
- Practice address
- 1619 1/2 Victory Blvd
Glendale, CA 91201-3821 - Phone
- (818) 500-7167
- Fax
- (818) 500-7149
- NPI assigned
- Jul 31, 2007
- Last updated
- Apr 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Arusyak Serobyan, PHARM.D.
- Title
- President
- Phone
- (818) 500-7167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 550000391 | CA | Primary |
Addresses
Primary practice location
1619 1/2 Victory Blvd
Glendale, CA 91201-3821
Mailing address
1619 1/2 Victory Blvd
Glendale, CA 91201-3821
Phone (818) 500-7167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141222001170 | CA | Part A Provider - Home Health Agency | 5799876801 | Practice locations: Burbank, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609066067. Details of each certification follow.
Home health agency certification: CCN 059011
- Legal name
- APEX HOME HEALTH CARE, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 12, 2008
- Last certification
- May 12, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 539 N Glenoaks Blvd
Ste 307
Burbank, CA 91502-3213
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Apex Home Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 12, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1063014 | Apex Home Health Care, Inc | Certificate of waiver | Jan 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
1619 Victory Blvd
Glendale, CA 91201
Phone (818) 500-7167
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gayane Keshishyan | 5% Or Greater Direct Ownership Interest | Apr 1, 2026 | 100% |
| Corporate Officer | Apr 1, 2026 | 100% | |
| Corporate Director | Apr 1, 2026 | 100% | |
| W-2 Managing Employee | Apr 1, 2026 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238976000000",
"number": "1609066067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 1/2 VICTORY BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912013821",
"telephone_number": "818-500-7167",
"fax_number": "818-500-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 1/2 VICTORY BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912013821",
"telephone_number": "818-500-7167",
"fax_number": "818-500-7149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APEX HOME HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2009-04-06",
"status": "A",
"authorized_official_last_name": "SEROBYAN",
"authorized_official_first_name": "ARUSYAK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-500-7167",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "550000391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.