Organization Active NPI

Holy Mountain Home Health

  • Home Health Agency
  • Glendora, CA
National Provider Identifier
1619625142
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOLY MOUNTAIN HOME HEALTH
Practice address
620 W Route 66 Ste 220B
Glendora, CA 91740-4173
Phone
(818) 588-0265
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Abraham Zakhteryan
Title
Cfo
Phone
(818) 434-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

620 W Route 66 Ste 220B
Glendora, CA 91740-4173

Mailing address

620 W Route 66 Ste 220B
Glendora, CA 91740-4173
Phone (818) 588-0265

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1619625142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 220B",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "818-588-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 220B",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "818-588-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY MOUNTAIN HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "ZAKHTERYAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-434-4144"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.