Organization Active NPI

Hellen's Home Health Care, Inc.

  • Home Health Agency
  • Eagle Rock, CA
National Provider Identifier
1609349794
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Nov 6, 2018 in CA
Enrollment address
1400 Colorado Blvd
Ste C
Eagle Rock, CA 90041-2321
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hellen's Home Health Care, IncCCN 559356 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jan 7, 2021
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
05D2165313Hellen's Home Health Care, Inc1400 Colorado Boulevard, Suite C, Eagle Rock, CA 90041Certificate of waiverApr 23, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Kristine Vardanyan Individual 5% Or Greater Direct Ownership InterestCeo Nov 16, 2018 100%
Corporate OfficerCeo Nov 16, 2018 100%
Corporate DirectorCeo Nov 16, 2018 100%
W-2 Managing EmployeeCeo Nov 16, 2018 100%
Operational/Managerial ControlCeo Nov 16, 2018 100%

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": "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

Verify at the official NPI Registry.