Full Service Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FULL SERVICE HOME HEALTH

Practice address

502 W Route 66 Ste 23
Glendora, CA 91740-4378

Phone

(818) 624-6360

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Knarik Vardanyan

Title

Ceo

Phone

(818) 619-7238

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1801542055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W ROUTE 66 STE 23",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404378",
            "telephone_number": "818-624-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W ROUTE 66 STE 23",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404378",
            "telephone_number": "818-624-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SERVICE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "KNARIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-619-7238"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Nicole Frazier, CADCII
• Sabrina Fredrickson
• Melissa Frost, NURSE PRACTITIONER
• Lorena Llanet Fuentes, PMHNP
• Chelsea Fujita-Haffner, NP-C
• Safwat Gabriel
• Nancy Reyes Galdamez, REGISTERED NURSE
• Galen Inpatient Physicians PC
• Richard Galich, MD
• Richard K Gallardo, RN

• Home Health Agency in Glendora, CA
• Providers in Glendora, 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 Feb 25, 2022; 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.