Active NPI
Nobilis, Inc.
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NOBILIS, INC.
- Practice address
- 206 N Jackson St Ste 301
Glendale, CA 91206-4330 - Phone
- (888) 381-7181
- Fax
- (818) 484-8227
- NPI assigned
- Dec 23, 2015
- Last updated
- Apr 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anush Yaralyan
- Title
- President
- Phone
- (888) 381-7181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
206 N Jackson St Ste 301
Glendale, CA 91206-4330
Mailing address
206 N Jackson St Ste 301
Glendale, CA 91206-4330
Phone (888) 381-7181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180509000006 | CA | Part A Provider - Home Health Agency | 2466716915 | Practice locations: Glendale, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689039281. Details of each certification follow.
Home health agency certification: CCN 553165
- Legal name
- NOBILIS INC
- Doing business as
- NOBILIS HOME HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 8, 2018
- Last certification
- Dec 8, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 206 N Jackson St
Ste 301
Glendale, CA 91206-4330
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Nobilis Home Health Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 8, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2159604 | Nobilis Home Health Care | Certificate of waiver | Dec 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
206 N Jackson St
Ste 301
Glendale, CA 91206
Phone (888) 381-7181
7352 Foothill Blvd
Ste 203
Tujunga, CA 91042
Phone (818) 352-1916
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Gevork Chilgevorkyan | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 55% |
| Anush Yaralyan | 5% Or Greater Direct Ownership Interest | Jul 1, 2020 | 45% |
| Corporate Officer | Jul 1, 2020 | 100% | |
| Corporate Director | Jul 1, 2020 | 100% | |
| W-2 Managing Employee | Jul 1, 2020 | 100% | |
| Operational/Managerial Control | Jul 1, 2020 | 100% | |
| Shushan Suzie Yaralyan | W-2 Managing Employee | Sep 1, 2021 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Beverly Hills, CA
- NPI 1366553547
Home health agency
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1750312427
Home health agency
-
- Internal Medicine Physician
- Beverly Hills, CA
- NPI 1134150444
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617321600000",
"number": "1689039281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N JACKSON ST STE 301",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064330",
"telephone_number": "888-381-7181",
"fax_number": "818-484-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N JACKSON ST STE 301",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064330",
"telephone_number": "888-381-7181",
"fax_number": "818-484-8227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBILIS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-23",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A",
"authorized_official_last_name": "YARALYAN",
"authorized_official_first_name": "ANUSH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-381-7181"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.