Organization Active NPI

VRT Home Health Care

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1639650666
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VRT HOME HEALTH CARE
Practice address
517 Commercial St Ste a&C
Glendale, CA 91203-1509
Phone
(818) 813-4101
Fax
(818) 688-0776
NPI assigned
Aug 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Mrs. Ruzanna Mnatsakanyan, RN
Title
Ceo
Phone
(818) 813-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

517 Commercial St Ste a&C
Glendale, CA 91203-1509

Mailing address

517 Commercial St Ste a&C
Glendale, CA 91203-1509
Phone (818) 813-4101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200422001196 CA Part A Provider - Home Health Agency 4385074947 Practice locations: Glendale, CA

Home health agency certification: CCN 559456

Legal name
VRT HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 24, 2021
Last certification
Feb 24, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 10, 2017 in CA
Enrollment address
600 W Broadway
Ste 240B
Glendale, CA 91204-1022

Care Compare: Home health agency

Medicare Care Compare
Listed as
VRT Home Health CareCCN 559456
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Feb 24, 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
05D2160488VRT Home Health Care600 W Broadway Suite 240B, Glendale, CA 91204Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Locations

517 Commercial St
Ste Ac
Glendale, CA 91203
Phone (818) 813-4101

600 W Broadway
Ste 240B
Glendale, CA 91204
Phone (818) 484-7508

517 Commercial St
Ste A
Glendale, CA 91203
Phone (818) 813-4101

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
Ruzanna Mnatsakanyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary Jul 10, 2017 100%
Corporate OfficerCeo/Cfo/Secretary Jul 10, 2017 100%
Corporate DirectorCeo/Cfo/Secretary Jul 10, 2017 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Jul 10, 2017 100%
Operational/Managerial ControlCeo/Cfo/Secretary Jul 10, 2017 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1639650666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 COMMERCIAL ST STE A&C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031509",
            "telephone_number": "818-813-4101",
            "fax_number": "818-688-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 COMMERCIAL ST STE A&C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031509",
            "telephone_number": "818-813-4101",
            "fax_number": "818-688-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VRT HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANYAN",
        "authorized_official_first_name": "RUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-813-4101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "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.