St. Marcos Home & Palliative Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST. MARCOS HOME & PALLIATIVE CARE INC

Practice address

401 N Brand Blvd Ste 244
Glendale, CA 91203-4443

Phone

(818) 476-7878

Fax

(818) 476-7972

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Gharakhanian

Title

Ceo

Phone

(818) 476-7878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559024

Legal name

ST. MARCOS HOME & PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 13, 2019

Last certification

Mar 13, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 30, 2016 in CA

Enrollment address

401 N Brand Blvd
Ste 244
Glendale, CA 91203-4443

Listed as

St Marcos Home & Palliative Care, IncCCN 559024

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Mar 13, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adrineh Kalantar Ohanian

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1760038335
  NPD (past)

Affiliated clinicians 1

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

• Adrineh Kalantar Ohanian

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1760038335

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1750734844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE 244",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034443",
            "telephone_number": "818-476-7878",
            "fax_number": "818-476-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE 244",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034443",
            "telephone_number": "818-476-7878",
            "fax_number": "818-476-7972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2117 Lake Ave Ste 201N",
            "address_purpose": "LOCATION",
            "city": "Altadena",
            "state": "CA",
            "postal_code": "910012462",
            "country_code": "US",
            "telephone_number": "818-683-4745",
            "fax_number": "626-414-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. MARCOS HOME & PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "GHARAKHANIAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-476-7878",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Oct 25, 2018; 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.