Empyrean Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EMPYREAN HOME HEALTH, INC.

Practice address

815 S Central Ave Ste 18
Glendale, CA 91204-2086

Phone

(818) 275-1026

NPI assigned

Oct 13, 2022

Last updated

Oct 13, 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

Mr. Ruben Grigorian

Title

Ceo

Phone

(818) 275-1026

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 1669198370. Details of each certification follow.

• CCN 757907 Home health agency · Active · Details

Home health agency certification: CCN 757907

Legal name

EMPYREAN HOME HEALTH, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 26, 2025

Last certification

Mar 26, 2025

Organization structure

CorporationProprietary

Incorporated

Oct 6, 2022 in CA

Enrollment address

815 S Central Ave
Ste 18
Glendale, CA 91204-2086

Listed as

Empyrean Home Health, Inc.CCN 757907 · All quality measures

Ownership

-

Certified

Mar 26, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1669198370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S CENTRAL AVE STE 18",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042086",
            "telephone_number": "818-275-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S CENTRAL AVE STE 18",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042086",
            "telephone_number": "818-275-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPYREAN HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "GRIGORIAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-275-1026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendale, CA
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• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.