Organization Active NPI

Allure Homecare Inc.

  • Home Health Agency
  • Eagle Rock, CA
National Provider Identifier
1790283273
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALLURE HOMECARE INC.
Practice address
2525 Colorado Blvd Ste C
Eagle Rock, CA 90041-1062
Phone
(323) 739-6680
NPI assigned
Jan 30, 2018
Last updated
Jan 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Suzanna Gumbikyan
Title
Ceo
Phone
(323) 739-6680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2525 Colorado Blvd Ste C
Eagle Rock, CA 90041-1062

Mailing address

2525 Colorado Blvd Ste C
Eagle Rock, CA 90041-1062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190927001400 CA Part A Provider - Home Health Agency 1153651542 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790283273. Details of each certification follow.

Home health agency certification: CCN 559142

Legal name
ALLURE HOMECARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 18, 2019
Last certification
Dec 18, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
315 Arden Ave
Ste 12
Glendale, CA 91203-1158

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allure Homecare, IncCCN 559142 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Dec 18, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2525 Colorado Blvd
Ste C
Eagle Rock, CA 90041
Phone (323) 739-6680

315 Arden Ave
Ste 12
Glendale, CA 91203
Phone (323) 739-6680

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
David Yegoyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 15, 2023 100%
Corporate OfficerCeo Sep 15, 2023 100%
Corporate DirectorCeo Sep 15, 2023 100%
W-2 Managing EmployeeCeo Sep 15, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1790283273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COLORADO BLVD STE C",
            "city": "EAGLE ROCK",
            "state": "CA",
            "postal_code": "900411062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COLORADO BLVD STE C",
            "city": "EAGLE ROCK",
            "state": "CA",
            "postal_code": "900411062",
            "telephone_number": "323-739-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURE HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "GUMBIKYAN",
        "authorized_official_first_name": "SUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-739-6680"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Rock, CA

Sources for this page

Verify at the official NPI Registry.