NPIMap

Organization Active NPI

Five Star Quality Healthcare Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1730325382
Registry record updated Jan 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIVE STAR QUALITY HEALTHCARE INC
Practice address
541 W Colorado St
Suite 322
Glendale, CA 91204-3638
Phone
(818) 507-6469
NPI assigned
Jan 4, 2009
Last updated
Jan 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2009

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

Authorized official

Name
Armine Oroudjian
Title
Ceo
Phone
(818) 507-6469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

541 W Colorado St
Suite 322
Glendale, CA 91204-3638

Mailing address

541 W Colorado St
Suite 322
Glendale, CA 91204-3638
Phone (818) 507-6469

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090515000516 CA Part A Provider - Home Health Agency 4789733007 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730325382. Details of each certification follow.

Home health agency certification: CCN 059346

Legal name
FIVE STAR QUALITY HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 11, 2011
Last certification
Feb 22, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 30, 2008 in CA
Enrollment address
116 N Artsakh St
Ste 200
Glendale, CA 91206-4773
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Five Star Quality Healthcare, IncCCN 059346 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Nov 11, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

116 N Artsakh Ave
Ste 200
Glendale, CA 91206
Phone (818) 507-6469

541 W Colorado St
Ste 322
Glendale, CA 91204
Phone (818) 507-6469

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
Liana Vardanyan Individual 5% Or Greater Direct Ownership InterestOwner Jan 4, 2016 100%
Corporate OfficerCeo / Cfo / Secretary / Board Me Jan 4, 2016 100%
Corporate DirectorCeo / Cfo / Secretary / Board Me Jan 4, 2016 100%
W-2 Managing EmployeeCeo / Cfo / Secretary / Board Me Jan 4, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1231027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231027200000",
    "number": "1730325382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST",
            "address_2": "SUITE 322",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043638",
            "telephone_number": "818-507-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST",
            "address_2": "SUITE 322",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043638",
            "telephone_number": "818-507-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-04",
        "last_updated": "2009-01-04",
        "status": "A",
        "authorized_official_last_name": "OROUDJIAN",
        "authorized_official_first_name": "ARMINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-507-6469"
    },
    "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.