Active NPI
Hellen's Home Health Care, Inc.
- Home Health Agency
- Eagle Rock, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HELLEN'S HOME HEALTH CARE, INC.
- Practice address
- 1400 Colorado Blvd Ste C
Eagle Rock, CA 90041-2321 - Phone
- (323) 274-4586
- NPI assigned
- Jan 10, 2019
- Last updated
- Jan 10, 2019
- 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
- Kristine Vardanyan
- Title
- Ceo
- Phone
- (323) 274-4586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
1400 Colorado Blvd Ste C
Eagle Rock, CA 90041-2321
Mailing address
1400 Colorado Blvd Ste C
Eagle Rock, CA 90041-2321
Phone (323) 274-4586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200506002654 | CA | Part A Provider - Home Health Agency | 1456782440 | Practice locations: Eagle Rock, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609349794. Details of each certification follow.
Home health agency certification: CCN 559356
- Legal name
- HELLEN'S HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 7, 2021
- Last certification
- Jan 7, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 6, 2018 in CA
- Enrollment address
- 1400 Colorado Blvd
Ste C
Eagle Rock, CA 90041-2321
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Hellen's Home Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 7, 2021
- 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 |
|---|---|---|---|
| 05D2165313 | Hellen's Home Health Care, Inc | Certificate of waiver | Apr 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
1400 Colorado Blvd
Apt C
Los Angeles, CA 90041
Phone (323) 274-4586
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 |
|---|---|---|---|
| Kristine Vardanyan | 5% Or Greater Direct Ownership Interest | Nov 16, 2018 | 100% |
| Corporate Officer | Nov 16, 2018 | 100% | |
| Corporate Director | Nov 16, 2018 | 100% | |
| W-2 Managing Employee | Nov 16, 2018 | 100% | |
| Operational/Managerial Control | Nov 16, 2018 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- General Practice Physician
- Long Beach, CA
- NPI 1063571834
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547078400000",
"number": "1609349794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 COLORADO BLVD STE C",
"city": "EAGLE ROCK",
"state": "CA",
"postal_code": "900412321",
"telephone_number": "323-274-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 COLORADO BLVD STE C",
"city": "EAGLE ROCK",
"state": "CA",
"postal_code": "900412321",
"telephone_number": "323-274-4586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELLEN'S HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-10",
"last_updated": "2019-01-10",
"status": "A",
"authorized_official_last_name": "VARDANYAN",
"authorized_official_first_name": "KRISTINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-274-4586"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Rock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.