Green Line Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREEN LINE HOME CARE INC

Practice address

811 Wilshire Blvd Ste 1763
Los Angeles, CA 90017-2606

Phone

(213) 465-2644

Fax

(213) 855-0510

NPI assigned

May 24, 2021

Last updated

Jan 26, 2022By 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

Haykuhi Gasparyan

Title

Ceo

Phone

(213) 465-2644

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 1669047569. Details of each certification follow.

• CCN 758096 Home health agency · Active · Details

Home health agency certification: CCN 758096

Legal name

GREEN LINE HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 16, 2025

Last certification

Jul 24, 2025

Organization structure

CorporationProprietary

Enrollment address

12444 Victory Blvd
Ste 114
North Hollywood, CA 91606-3156

Listed as

Green Line Home Care IncCCN 758096 · All quality measures

Ownership

-

Certified

Aug 16, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1669047569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WILSHIRE BLVD STE 1763",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172606",
            "telephone_number": "213-465-2644",
            "fax_number": "213-855-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WILSHIRE BLVD STE 1763",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172606",
            "telephone_number": "213-465-2644",
            "fax_number": "213-855-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LINE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "GASPARYAN",
        "authorized_official_first_name": "HAYKUHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-465-2644"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Allen Greco, M.D.
• Green Acupuncture
• Green Acupuncture, Inc.
• Green Cross Med Net Inc (Green Cross Medical Clinic)
• Green Dot Public Schools
• Green Oak Ventures
• Erin Rebecca Green-Krogmann, PH.D
• Kimberly Nicole Green-Russell, LMFT
• Abe Green, MD
• Alexa Harcourt Green, RN

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 26, 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.

Verify at the official NPI Registry.