Sudario Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUDARIO HOME HEALTH CARE, INC.

Practice address

620 W Riute 66 Suite 220a
Glendora, CA 91740

Phone

(626) 629-3132

NPI assigned

Feb 28, 2019

Last updated

Feb 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marianna Grigoryan

Title

Ceo

Phone

(626) 629-3132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629535380. Details of each certification follow.

• CCN 559227 Home health agency · Active · Details

Home health agency certification: CCN 559227

Legal name

SUDARIO HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 6, 2020

Last certification

May 6, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 10, 2019 in CA

Enrollment address

220 S Kenwood St
Ste 202
Glendale, CA 91205-1671

Listed as

Sudario Home Health Care, IncCCN 559227 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

May 6, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 8

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

• Vardui Arutyunyan, MD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1841235223

  Home health agency

  Care Compare affiliation
• Garen Derhartunian, M.D.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1609133776

  Home health agency

  Care Compare affiliation
• Arbi Ghazarian, M.D.

  • Family Medicine Physician
  • Montrose, CA
  • NPI 1992773253

  Home health agency

  Care Compare affiliation
• Gevork Joe Maissian, D.O.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1639320658

  Home health agency

  Care Compare affiliation
• Razmik Ohanjanian, MD

  • Cardiovascular Disease Physician
  • Glendale, CA
  • NPI 1265488845

  Home health agency

  Care Compare affiliation
• Yervand Set Agayan, DO

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1023216173

  Home health agency

  Care Compare affiliation
• Kevork Artin Vorperian, M.D.

  • Internal Medicine Physician
  • Sunland, CA
  • NPI 1568468650

  Home health agency

  Care Compare affiliation
• Antony Ibrahim, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1700414000

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1629535380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W RIUTE 66 SUITE 220A",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-629-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W RIUTE 66 SUITE 220A",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-629-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDARIO HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-629-3132"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Straley
• Tori Strobel-Sabatino
• Bryan James Strycula, MS
• Cynthia Ann Stuart, M.D.
• Irene Su
• Agustinus Suhardja, MD
• Dallas Marie Sullivan
• Susan J. Lee, DMD, MD Inc (Glendora Oral Surgery and Implant Center)
• Acacia Sutherland, PA-C
• Swapna V Phadnis MD Inc

• Home Health Agency in Glendora, CA
• Providers in Glendora, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.