Care Agency Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARE AGENCY HOME HEALTH

Practice address

5406 San Fernando Rd Ste 203
Glendale, CA 91203-2857

Phone

(818) 484-5655

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nona Buniatyan

Title

President/Ceo/Cfo

Phone

(818) 484-5655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790443547. Details of each certification follow.

• CCN 757730 Home health agency · Active · Details

Home health agency certification: CCN 757730

Legal name

CARE AGENCY HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 15, 2024

Last certification

Jun 21, 2024

Organization structure

CorporationProprietary

Incorporated

Oct 7, 2021 in CA

Enrollment address

5406 San Fernando Rd
Ste 203
Glendale, CA 91203-2857

Listed as

Care Agency Home HealthCCN 757730 · All quality measures

Ownership

-

Certified

Jul 15, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1790443547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 SAN FERNANDO RD STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032857",
            "telephone_number": "818-484-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 SAN FERNANDO RD STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032857",
            "telephone_number": "818-484-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AGENCY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "BUNIATYAN",
        "authorized_official_first_name": "NONA",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO",
        "authorized_official_telephone_number": "818-484-5655"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.