Individual provider Active NPI

Ruben Vardanyan, CEO

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1780392498
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
869 E Foothill Blvd Ste K
Upland, CA 91786-4063
Phone
(310) 363-0632
NPI assigned
Nov 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

869 E Foothill Blvd Ste K
Upland, CA 91786-4063

Mailing address

869 E Foothill Blvd Ste K
Upland, CA 91786-4063
Phone (310) 363-0632

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Professionalhelp.hh@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Help Home Health Home Health Current Accepting new patients
Mab Home Health Home Health Current Accepting new patients

Locations

869 E Foothill Blvd
Ste K
Upland, CA 91786
Phone (310) 363-0632

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1780392498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E FOOTHILL BLVD STE K",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864063",
            "telephone_number": "310-363-0632",
            "fax_number": "818-279-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 E FOOTHILL BLVD STE K",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864063",
            "telephone_number": "310-363-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDANYAN",
        "first_name": "RUBEN",
        "name_prefix": "Mr.",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Professionalhelp.hh@gmail.com",
            "affiliation": "N",
            "address_1": "869 E Foothill Blvd Ste K",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917864063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.