Organization Active NPI

Libra Home Health Care. Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1609265339
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000498 Issued in CA
Legal business name
LIBRA HOME HEALTH CARE. INC.
Practice address
1241 S. Glendale Ave.
Suite 304E
Glendale, CA 91205-3204
Phone
(818) 405-9473
Fax
(818) 459-6995
NPI assigned
Jan 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Karapet Gary Tiflizyan
Title
Ceo
Phone
(818) 405-9473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000498 CA Primary

Addresses

Primary practice location

1241 S. Glendale Ave.
Suite 304E
Glendale, CA 91205-3204

Mailing address

1241 S. Glendale Ave.
Suite 304E
Glendale, CA 91205-3204
Phone (818) 405-9473

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150225000488 CA Part A Provider - Home Health Agency 1254657935 Practice locations: Glendale, CA

Home health agency certification: CCN 059735

Legal name
LIBRA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 22, 2016
Last certification
Mar 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 8, 2014 in CA
Enrollment address
1215 E Colorado St
Ste 201
Glendale, CA 91205-1494

Care Compare: Home health agency

Medicare Care Compare
Listed as
Libra Home Health Care, Inc.CCN 059735
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Apr 22, 2016
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
05D2134651Libra Home Health Care Inc1215 E Colorado St Ste 201, Glendale, CA 91205Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

1215 E Colorado St
Ste 201
Glendale, CA 91205
Phone (818) 574-1441

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karapet Tiflizyan Individual 5% Or Greater Direct Ownership Interest Jan 19, 2015 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member Jan 19, 2015 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member Jan 19, 2015 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member Jan 19, 2015 100%
Tadd G Nares Individual W-2 Managing EmployeeAdministrator/DPCS Jan 19, 2015

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1609265339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S. GLENDALE AVE.",
            "address_2": "SUITE 304E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053204",
            "telephone_number": "818-405-9473",
            "fax_number": "818-459-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S. GLENDALE AVE.",
            "address_2": "SUITE 304E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053204",
            "telephone_number": "818-405-9473",
            "fax_number": "818-459-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBRA HOME HEALTH CARE. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "TIFLIZYAN",
        "authorized_official_first_name": "KARAPET",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-405-9473"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.