Active NPI
Ruben Vardanyan, CEO
- Home Health Agency
- Upland, CA
National Provider Identifier
1780392498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Upland, CA
- NPI 1912760323
-
- Home Health Agency
- Upland, CA
- NPI 1942046701
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.