St David Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST DAVID HOME HEALTH INC

Practice address

1800 Broadview Dr Ste 262
Glendale, CA 91208-1259

Phone

(747) 264-9470

Fax

(747) 245-3004

NPI assigned

Apr 29, 2022

Organization subpart

No

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

Authorized official

Name

Davit Gharagyozyan

Title

Cfo,Ceo,Secretary

Phone

(747) 264-9470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 758053

Legal name

ST DAVID HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 20, 2025

Last certification

Jun 26, 2025

Organization structure

CorporationProprietary

Incorporated

Feb 14, 2022 in CA

Enrollment address

1800 Broadview Dr
Ste 262
Glendale, CA 91208

Listed as

St David Home Health IncCCN 758053

Ownership

-

Certified

Jul 20, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1730824228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BROADVIEW DR STE 262",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081259",
            "telephone_number": "747-264-9470",
            "fax_number": "747-245-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BROADVIEW DR STE 262",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081259",
            "telephone_number": "747-264-9470",
            "fax_number": "747-245-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST DAVID HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "GHARAGYOZYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "CFO,CEO,SECRETARY",
        "authorized_official_telephone_number": "747-264-9470"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Champs Inc.
• Sports Injury Diagnostics
• Spot Physical Therapy Inc
• Spring Home Health Care
• St Anthony Hospice
• St David Hospice Care Inc
• St Gregory Home Health Care
• St Meri Hospice Inc
• St Rita Imaging Center Inc
• St. Angel Hospice

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.

Verify at the official NPI Registry.