Organization Active NPI

Exclusive Choice Home Healthcare Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1699449793
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXCLUSIVE CHOICE HOME HEALTHCARE INC.
Practice address
1228 W Glenoaks Blvd Unit a
Glendale, CA 91201-2239
Phone
(747) 240-6905
Fax
(747) 240-6164
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fred Gasparyan
Title
Ceo
Phone
(747) 240-6905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1228 W Glenoaks Blvd Unit a
Glendale, CA 91201-2239

Mailing address

1228 W Glenoaks Blvd Unit a
Glendale, CA 91201-2239
Phone (747) 240-6905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221220000846 CA Part A Provider - Home Health Agency 7315316072 Practice locations: Glendale, CA

Home health agency certification: CCN 757507

Legal name
EXCLUSIVE CHOICE HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 20, 2023
Last certification
Nov 16, 2023
Organization structure
CorporationProprietary
Incorporated
Jul 8, 2021 in CA
Enrollment address
1228 W Glenoaks Blvd
Unit a
Glendale, CA 91201-2239

Care Compare: Home health agency

Medicare Care Compare
Listed as
Exclusive Choice Home Healthcare Inc.CCN 757507
Overall star rating
2.5 of 5
Ownership
-
Certified
Nov 20, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1228 W Glenoaks Blvd
#A
Glendale, CA 91201
Phone (747) 240-6905

Ownership & related parties

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.

NameRoleSinceShare
Fred Gasparyan Individual 5% Or Greater Direct Ownership InterestCeo Jul 8, 2021 100%
Corporate OfficerCeo Jul 8, 2021 100%
Corporate DirectorCeo Jul 8, 2021 100%
W-2 Managing EmployeeCeo Jul 8, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1699449793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 W GLENOAKS BLVD UNIT A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012239",
            "telephone_number": "747-240-6905",
            "fax_number": "747-240-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 W GLENOAKS BLVD UNIT A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012239",
            "telephone_number": "747-240-6905",
            "fax_number": "747-240-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE CHOICE HOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "GASPARYAN",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-240-6905"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.