Organization Active NPI

Nobilis, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1689039281
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CareCCN 553165 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Dec 8, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2159604Nobilis Home Health Care206 N Jackson St Ste 301, Glendale, CA 91206Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Gevork Chilgevorkyan Individual 5% Or Greater Direct Ownership InterestShareholder Feb 1, 2022 55%
Anush Yaralyan Individual 5% Or Greater Direct Ownership Interest Jul 1, 2020 45%
Corporate OfficerPresident, Cfo, Secretary Jul 1, 2020 100%
Corporate DirectorPresident,Cfo, Secretary Jul 1, 2020 100%
W-2 Managing EmployeePresident,Cfo, Secretary Jul 1, 2020 100%
Operational/Managerial Control Jul 1, 2020 100%
Shushan Suzie Yaralyan Individual W-2 Managing EmployeeAdministrator/DPCS Sep 1, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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

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

Verify at the official NPI Registry.