Organization Active NPI

Early Bird Home Health

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1811588387
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EARLY BIRD HOME HEALTH
Practice address
3827 E Colorado Blvd
Pasadena, CA 91107-3935
Phone
(818) 287-0066
Fax
(833) 833-1900
NPI assigned
Jan 28, 2021
Organization subpart
Yes
Parent organization
LP HOLDINGS GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Ms. Sose Simonyan
Title
Ceo
Phone
(818) 287-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3827 E Colorado Blvd
Pasadena, CA 91107-3935

Mailing address

3827 E Colorado Blvd
Pasadena, CA 91107-3935
Phone (818) 287-0066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210222001512 CA Part A Provider - Home Health Agency 3476968678 Practice locations: Pasadena, CA

Home health agency certification: CCN 757036

Legal name
EARLY BIRD HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 8, 2022
Last certification
Jul 8, 2022
Organization structure
CorporationProprietary
Incorporated
Jan 6, 2021 in CA
Enrollment address
3827 E Colorado Blvd
Pasadena, CA 91107-3935

Care Compare: Home health agency

Medicare Care Compare
Listed as
Early Bird Home HealthCCN 757036
Overall star rating
3.5 of 5
Ownership
-
Certified
Jul 8, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2321445Early Bird Home Health3827 E Colorado Blvd, Pasadena, CA 91107Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory

Locations

125 S Louise St
Ste 20
Glendale, CA 91205
Phone (818) 287-0066

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
LP Holdings Group Inc Organization, Northridge, CA Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 16, 2024 51%
Sose Simonyan Individual 5% Or Greater Direct Ownership Interest Mar 16, 2024 49%
Corporate OfficerCeo/Cfo/Secretary/49% Mar 16, 2024 49%
Corporate DirectorCeo/Cfo/Secretary/49% Mar 16, 2024 49%
W-2 Managing EmployeeCeo/Cfo/Secretary/49% Mar 16, 2024 49%
Lilit Poghosyan Individual 5% Or Greater Indirect Ownership Interest Jan 6, 2021 100%
Corporate OfficerCeo/President/Cfo/Secretary Jan 6, 2021
Corporate DirectorCeo/President/Cfo/Secretary Jan 6, 2021
W-2 Managing EmployeeCeo/President/Cfo/Secretary Jan 6, 2021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1811588387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073935",
            "telephone_number": "818-287-0066",
            "fax_number": "833-833-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073935",
            "telephone_number": "818-287-0066",
            "fax_number": "833-833-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY BIRD HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP HOLDINGS GROUP, INC.",
        "enumeration_date": "2021-01-28",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "SIMONYAN",
        "authorized_official_first_name": "SOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-287-0066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.