Organization Active NPI

Seasoned Home Health

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1710633581
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SEASONED HOME HEALTH
Practice address
3857 Foothill Blvd Ste 18
Glendale, CA 91214-1658
Phone
(818) 530-4567
Fax
(818) 530-4567
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Ms. Anna Otuzbiryan
Title
Ceo
Phone
(818) 530-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3857 Foothill Blvd Ste 18
Glendale, CA 91214-1658

Mailing address

3857 Foothill Blvd Ste 18
Glendale, CA 91214-1658
Phone (818) 530-4567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231219000973 CA Part A Provider - Home Health Agency 6204286131 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757914

Legal name
SEASONED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 5, 2025
Last certification
Apr 24, 2025
Organization structure
CorporationProprietary
Incorporated
Jan 13, 2022 in CA
Enrollment address
6741 Van Nuys Blvd
Unit 252
Van Nuys, CA 91405-4630

Care Compare: Home health agency

Medicare Care Compare
Listed as
Seasoned Home HealthCCN 757914 · All quality measures
Ownership
-
Certified
May 5, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3857 Foothill Blvd
Ste 18
La Crescenta, CA 91214
Phone (818) 465-2222

6741 Van Nuys Blvd
Unit 252
Van Nuys, CA 91405
Phone (818) 530-4567

6741 Van Nuys Blvd
#252
Van Nuys, CA 91405

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
Lilit Gevorgyan Individual 5% Or Greater Direct Ownership Interest Nov 20, 2023 100%
Corporate OfficerCeo/President/Cfo/Secretary/Boar Jan 13, 2022 100%
Corporate DirectorCeo/President/Cfo/Secretary/Boar Jan 13, 2022 100%
W-2 Managing EmployeeCeo/President/Cfo/Secretary/Boar Jan 13, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1710633581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 FOOTHILL BLVD STE 18",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141658",
            "telephone_number": "818-530-4567",
            "fax_number": "818-530-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 FOOTHILL BLVD STE 18",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141658",
            "telephone_number": "818-530-4567",
            "fax_number": "818-530-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONED HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "OTUZBIRYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-530-4567",
        "authorized_official_name_prefix": "Ms."
    },
    "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.