Organization Active NPI

Summa Home Health Care, Inc.

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1790353613
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUMMA HOME HEALTH CARE, INC.
Practice address
2500 E Foothill Blvd Unit 417
Pasadena, CA 91107-3464
Phone
(888) 228-9590
NPI assigned
Jun 16, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMA CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Asatur Keymetlyan
Title
Ceo
Phone
(888) 228-9590

Specialties & licenses 1

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

Addresses

Primary practice location

2500 E Foothill Blvd Unit 417
Pasadena, CA 91107-3464

Mailing address

2500 E Foothill Blvd Unit 417
Pasadena, CA 91107-3464
Phone (888) 228-9590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220920000108 CA Part A Provider - Home Health Agency 5294110755 Practice locations: Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790353613. Details of each certification follow.

Home health agency certification: CCN 757287

Legal name
SUMMA HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 19, 2023
Last certification
May 10, 2023
Organization structure
CorporationProprietary
Incorporated
Jun 4, 2021 in CA
Enrollment address
2500 E Foothill Blvd
Ste 417
Pasadena, CA 91107-7134

Care Compare: Home health agency

Medicare Care Compare
Listed as
Summa Home Health Care, Inc.CCN 757287 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
May 19, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2500 E Foothill Blvd
Ste 417
Pasadena, CA 91107
Phone (888) 228-9590

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Summa Care Holdings Inc Organization, Burbank, CA Corporation 5% Or Greater Direct Ownership Interest Aug 31, 2020 100%
Asatur Keymetlyan Individual 5% Or Greater Indirect Ownership Interest Jun 4, 2021
Corporate Officer Jun 4, 2021
Corporate Director Jun 4, 2021
W-2 Managing Employee Jun 4, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1790353613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD UNIT 417",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073464",
            "telephone_number": "888-228-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD UNIT 417",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073464",
            "telephone_number": "888-228-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMA HOME HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMA CARE HOLDINGS, INC.",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "KEYMETLYAN",
        "authorized_official_first_name": "ASATUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-228-9590"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.