Protective Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROTECTIVE HOME HEALTH CARE, INC.

Practice address

221 E Glenoaks Blvd # 222a
Glendale, CA 91207-2085

Phone

(818) 660-2364

Fax

(818) 660-2365

NPI assigned

Jun 28, 2021

Last updated

Jun 28, 2021By 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

Mr. Armen Vartanian

Title

Owner, Ceo, Cfo

Phone

(818) 660-2364

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 1669042156. Details of each certification follow.

• CCN 757165 Home health agency · Active · Details

Home health agency certification: CCN 757165

Legal name

PROTECTIVE HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 21, 2023

Last certification

Jan 20, 2023

Organization structure

CorporationProprietary

Incorporated

Aug 15, 2020 in CA

Enrollment address

221 E Glenoaks Blvd
Unit 222a
Glendale, CA 91207-2085

Listed as

Protective Home Health Care, Inc.CCN 757165 · All quality measures

Overall star rating

4.5 of 5

Ownership

-

Certified

Jan 21, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mikayel Grigoryan, M.D.

  • Neurological Surgery Physician
  • Glendale, CA
  • NPI 1801003686

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Eli Ahdoot, D.O

  • Orthopaedic Surgery Physician
  • Burbank, CA
  • NPI 1609280478

  Home health agency

  Care Compare affiliation
• Lin Gehua Lemay, M.D.

  • Neurology Physician
  • Burbank, CA
  • NPI 1871538686

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1669042156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E GLENOAKS BLVD # 222A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072085",
            "telephone_number": "818-660-2364",
            "fax_number": "818-660-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E GLENOAKS BLVD # 222A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072085",
            "telephone_number": "818-660-2364",
            "fax_number": "818-660-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTECTIVE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "VARTANIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "OWNER, CEO, CFO",
        "authorized_official_telephone_number": "818-660-2364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rosalinda Valmeo Protacio, NP
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• George Pryor, NP

• Home Health Agency in Glendale, CA
• Providers in Glendale, 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 Jun 28, 2021; 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.