NPIMap

Organization Active NPI

KLN Home Health Services, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1780280362
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KLN HOME HEALTH SERVICES, INC.
Practice address
2116 N Glenoaks Blvd Ste 1
Burbank, CA 91504-2810
Phone
(818) 562-7377
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Katherine Lucine Nagapetyan
Title
Ceo/President
Phone
(818) 562-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2116 N Glenoaks Blvd Ste 1
Burbank, CA 91504-2810

Mailing address

2116 N Glenoaks Blvd Ste 1
Burbank, CA 91504-2810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220314000175 CA Part A Provider - Home Health Agency 9133531882 Practice locations: Burbank, CA

Home health agency certification: CCN 753129

Legal name
KLN HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 6, 2022
Last certification
May 6, 2022
Organization structure
CorporationProprietary
Incorporated
Aug 31, 2020 in CA
Enrollment address
2116 N Glenoaks Blvd
Ste 1
Burbank, CA 91504-2810

Care Compare: Home health agency

Medicare Care Compare
Listed as
KLN Home Health Services, Inc.CCN 753129 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
May 6, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2116 N Glenoaks Blvd
Ste 1
Burbank, CA 91504
Phone (818) 562-7377

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
Kathrine Nagapetyan Individual 5% Or Greater Direct Ownership Interest Aug 31, 2020 100%
Corporate Officer Aug 31, 2020
Corporate Director Aug 31, 2020
W-2 Managing Employee Aug 31, 2020

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1780280362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 N GLENOAKS BLVD STE 1",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 N GLENOAKS BLVD STE 1",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042810",
            "telephone_number": "818-562-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLN HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "NAGAPETYAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LUCINE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-562-7377"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.