Organization Active NPI

Apollo Home Health Provider, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1790456879
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
APOLLO HOME HEALTH PROVIDER, INC.
Practice address
150 E Olive Ave Ste 214a
Burbank, CA 91502-1850
Phone
(818) 731-6861
Fax
(818) 474-0054
NPI assigned
Sep 28, 2021
Last updated
Sep 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Marine Gevojanjan
Title
Ceo
Phone
(818) 731-6861

Specialties & licenses 1

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

Addresses

Primary practice location

150 E Olive Ave Ste 214a
Burbank, CA 91502-1850

Mailing address

150 E Olive Ave Ste 214a
Burbank, CA 91502-1850
Phone (818) 731-6861

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.GMAIL.COM

National Provider Directory

National Provider Directory

Locations

150 E Olive Ave
Ste 214A
Burbank, CA 91502
Phone (818) 731-6861

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1790456879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E OLIVE AVE STE 214A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021850",
            "telephone_number": "818-731-6861",
            "fax_number": "818-474-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E OLIVE AVE STE 214A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021850",
            "telephone_number": "818-731-6861",
            "fax_number": "818-474-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HOME HEALTH PROVIDER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "GEVOJANJAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-731-6861"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "150 E Olive Ave Ste 214A",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915021850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.