Peaceful Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEACEFUL HOME HEALTH CARE, INC.

Practice address

457 W Colorado St Ste 202a
Glendale, CA 91204-1576

Phone

(747) 297-2868

Fax

(747) 297-2867

NPI assigned

Feb 1, 2022

Organization subpart

Yes

Parent organization

PHHC INVESTMENT GROUP, INC.As reported in NPPES

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

Authorized official

Name

Arega Grigoryan

Title

Ceo

Phone

(747) 297-2868

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757917

Legal name

PEACEFUL HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 21, 2025

Last certification

Apr 10, 2025

Organization structure

CorporationProprietary

Incorporated

Jan 1, 2022 in CA

Enrollment address

457 W Colorado St
Ste 202a
Glendale, CA 91204-1576

Listed as

Peaceful Home Health Care, Inc.CCN 757917

Ownership

-

Certified

Apr 21, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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.

Affiliated clinicians 2

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

• Michael K. Wensley, M.D.

  • Specialist
  • West Hollywood, CA
  • NPI 1841336740

  Home health agency

  Care Compare affiliation
• Karlton Wong, MD

  • Hematology & Oncology Physician
  • Burbank, CA
  • NPI 1376962381

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1740933548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 W COLORADO ST STE 202A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041576",
            "telephone_number": "747-297-2868",
            "fax_number": "747-297-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 W COLORADO ST STE 202A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041576",
            "telephone_number": "747-297-2868",
            "fax_number": "747-297-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HOME HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHHC INVESTMENT GROUP, INC.",
        "enumeration_date": "2022-02-01",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "AREGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-297-2868"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 30, 2023; 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.