Organization Active NPI

QRS Home Care Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1639759574
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 10, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 757709
Ownership
-
Certified
Jul 24, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Edison Dizon Individual 5% Or Greater Direct Ownership Interest Aug 9, 2024 49%
Corporate OfficerCfo, Secretary Aug 9, 2024 49%
Corporate DirectorCfo, Secretary Aug 9, 2024 49%
W-2 Managing EmployeeCfo, Secretary Aug 9, 2024 49%
Hayk Zohrabyan Individual 5% Or Greater Direct Ownership Interest Aug 9, 2024 51%
Corporate OfficerCeo Aug 9, 2024 51%
Corporate DirectorCeo Aug 9, 2024 51%
W-2 Managing EmployeeCeo Aug 9, 2024 51%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "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

Verify at the official NPI Registry.