Organization Active NPI

Apex Home Health Care, Inc

  • Health Maintenance Organization
  • Glendale, CA
National Provider Identifier
1609066067
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
550000391 Issued in CA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 059011 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 12, 2008
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
05D1063014Apex Home Health Care, Inc1619 1/2 Victory Blvd, Glendale, CA 91201Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Gayane Keshishyan Individual 5% Or Greater Direct Ownership InterestCeo Apr 1, 2026 100%
Corporate OfficerCeo Apr 1, 2026 100%
Corporate DirectorCeo Apr 1, 2026 100%
W-2 Managing EmployeeCeo 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

Verify at the official NPI Registry.