Ativa Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ATIVA HOME HEALTH CARE INC.

Practice address

127 S Brand Blvd Ste 117
Glendale, CA 91204-1371

Phone

(818) 435-3808

Fax

(818) 436-6993

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Shant Melkonian

Title

Owner/Ceo

Phone

(818) 435-3808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1760060404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 117",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041371",
            "telephone_number": "818-435-3808",
            "fax_number": "818-436-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 117",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041371",
            "telephone_number": "818-435-3808",
            "fax_number": "818-436-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATIVA HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "MELKONIAN",
        "authorized_official_first_name": "SHANT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "818-435-3808"
    },
    "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 Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.