Organization Active NPI

Harvard Health Services, Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1639313372
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HARVARD HEALTH SERVICES, INC
Practice address
126 S Jackson St
Ste 205
Glendale, CA 91205-4922
Phone
(818) 434-5987
Fax
(818) 230-0484
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Angela Khanjyan
Title
Ceo
Phone
(818) 502-9997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

126 S Jackson St
Ste 205
Glendale, CA 91205-4922

Mailing address

126 S Jackson St
Ste 205
Glendale, CA 91205-4922
Phone (818) 502-9996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000079 CA Part A Provider - Home Health Agency 5890836951 Practice locations: Glendale, CA

Home health agency certification: CCN 059410

Legal name
HARVARD HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 18, 2012
Last certification
Mar 12, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 11, 2009 in CA
Enrollment address
126S Jackson St 205
Glendale, CA 91205-4920

Care Compare: Home health agency

Medicare Care Compare
Listed as
Harvard Health Services, IncCCN 059410
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 18, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

126 S Jackson St
Ste 205
Glendale, CA 91205
Phone (818) 434-5987

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
Angela Khanjyan Individual 5% Or Greater Direct Ownership Interest Dec 28, 2009 100%
Corporate DirectorCeo Dec 28, 2009 100%
W-2 Managing EmployeeCeo Dec 28, 2009 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1639313372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S JACKSON ST",
            "address_2": "STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054922",
            "telephone_number": "818-502-9996",
            "fax_number": "818-502-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S JACKSON ST",
            "address_2": "STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054922",
            "telephone_number": "818-434-5987",
            "fax_number": "818-230-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "KHANJYAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-502-9997"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.