Organization Active NPI

Illuminate Home Health Care, Inc.

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1801437454
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ILLUMINATE HOME HEALTH CARE, INC.
Practice address
10545 Burbank Blvd Ste 137
North Hollywood, CA 91601-2249
Phone
(818) 987-4173
Fax
(818) 235-0135
NPI assigned
Oct 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Gayane Arakelyan
Title
Ceo
Phone
(818) 987-4173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10545 Burbank Blvd Ste 137
North Hollywood, CA 91601-2249

Mailing address

10545 Burbank Blvd Ste 137
North Hollywood, CA 91601-2249
Phone (818) 987-4173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201114000023 CA Part A Provider - Home Health Agency 0345650735 Practice locations: North Hollywood, CA

Home health agency certification: CCN 559469

Legal name
ILLUMINATE HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 14, 2021
Last certification
Jan 14, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 29, 2019 in CA
Enrollment address
10545 Burbank Blvd
Ste 137
North Hollywood, CA 91601-2249

Care Compare: Home health agency

Medicare Care Compare
Listed as
Illuminate Home Health Care, IncCCN 559469
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 14, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2290957Illuminate Home Health Care, Inc.10545 Burbank Blvd 137, North Hollywood, CA 91601Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

Locations

10545 Burbank Blvd
Ste 137
North Hollywood, CA 91601
Phone (818) 987-4173

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
Gayane Arakelyan Individual 5% Or Greater Direct Ownership Interest Feb 28, 2024 100%
Corporate DirectorCeo/Cfo/Secretary Feb 28, 2024 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Feb 28, 2024 100%

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": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1801437454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 BURBANK BLVD STE 137",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012249",
            "telephone_number": "818-987-4173",
            "fax_number": "818-235-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 BURBANK BLVD STE 137",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012249",
            "telephone_number": "818-987-4173",
            "fax_number": "818-235-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "ARAKELYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-987-4173"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.