Empyrean Home Health, Inc.
Organization Active NPI Home Health Agency · Glendale, CA
NPI 1669198370 · NPPES record last updated Oct 13, 2022
Key facts
- NPI
- 1669198370
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Ruben Grigorian
- Title
- Ceo
- Phone
- (818) 275-1026
Medicare Care Compare: Home health agency
- Listed as
- Empyrean Home Health, Inc.
- Ownership
- -
- Certified
- Mar 26, 2025
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- Corporation · Proprietary
- Incorporated
- Oct 6, 2022 in CA
- Enrollment address
- 815 S Central Ave
Ste 18
Glendale, CA 91204-2086
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Ruben Grigorian |
5% Or Greater Direct Ownership Interest | Nov 25, 2019 | 100% |
| Corporate Officer |
Nov 25, 2019 | 100% | |
| Corporate Director |
Nov 25, 2019 | 100% | |
| W-2 Managing Employee |
Nov 25, 2019 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230106001783 | CA | Part a Provider - Home Health Agency | 9638549751 | Practice locations: Glendale, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
815 S Central Ave Ste 18
Glendale, CA 91204-2086
Mailing address
815 S Central Ave Ste 18
Glendale, CA 91204-2086
Phone (818) 275-1026
Other providers in Glendale, CA
- Emmanuel C. Luna, M.D., Faafp, Inc.
- Empathy Care Home Health LLC
- Empathy Care Hospice LLC
- Emperium Home Health Inc
- Empower Dental Glendale - Arkelakyan Dental Group, Inc.
- Endless Help Home Health
- Endless Home Health Inc.
- Energy Body Acupuncture Inc.
- Engel Home Health Inc
- James Allen Engelhart
All providers in Glendale, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.