Active NPI
QRS Home Care Inc
- Home Health Agency
- Glendale, CA
National Provider Identifier
1639759574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- QRS HOME CARE INC
- Practice address
- 225 E Broadway Ste 205a
Glendale, CA 91205-1008 - Phone
- (818) 836-9719
- Fax
- (818) 484-3698
- NPI assigned
- Apr 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hayk Zohrabyan
- Title
- Ceo
- Phone
- (818) 836-9719
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
225 E Broadway Ste 205a
Glendale, CA 91205-1008
Mailing address
225 E Broadway Ste 205a
Glendale, CA 91205-1008
Phone (818) 836-9719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231214001486 | CA | Part A Provider - Home Health Agency | 1850740929 | Practice locations: Santa Fe Springs, CA |
Home health agency certification: CCN 757709
- Legal name
- QRS HOME CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 24, 2024
- Last certification
- Jul 17, 2024
- Organization structure
- Corporation
- Enrollment address
- 13353 Alondra Blvd
Ste 200B
Santa Fe Springs, CA 90670-5589
Care Compare: Home health agency
Medicare Care Compare- Listed as
- QRS Home Care Inc
- Ownership
- -
- Certified
- Jul 24, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
225 E Broadway
Ste 205A
Glendale, CA 91205
Phone (818) 836-9719
13353 Alondra Blvd
Ste 200B
Santa Fe Springs, CA 90670
Phone (562) 662-7725
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Edison Dizon | 5% Or Greater Direct Ownership Interest | Aug 9, 2024 | 49% |
| Corporate Officer | Aug 9, 2024 | 49% | |
| Corporate Director | Aug 9, 2024 | 49% | |
| W-2 Managing Employee | Aug 9, 2024 | 49% | |
| Hayk Zohrabyan | 5% Or Greater Direct Ownership Interest | Aug 9, 2024 | 51% |
| Corporate Officer | Aug 9, 2024 | 51% | |
| Corporate Director | Aug 9, 2024 | 51% | |
| W-2 Managing Employee | Aug 9, 2024 | 51% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Foot & Ankle Surgery Podiatrist
- Newport Beach, CA
- NPI 1851389878
Home health agency
-
- Geriatric Medicine (Family Medicine) Physician
- Irvine, CA
- NPI 1124273313
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646870400000",
"number": "1639759574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E BROADWAY STE 205A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051008",
"telephone_number": "818-836-9719",
"fax_number": "818-484-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E BROADWAY STE 205A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051008",
"telephone_number": "818-836-9719",
"fax_number": "818-484-3698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QRS HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-14",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A",
"authorized_official_last_name": "ZOHRABYAN",
"authorized_official_first_name": "HAYK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-836-9719"
},
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.