Active NPI
Planet Home Health Care, Inc.
- Home Health Agency
- Glendale, CA
National Provider Identifier
1821298449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550001261
- Legal business name
- PLANET HOME HEALTH CARE, INC.
- Practice address
- 221 E. Glenoaks Blvd.
Ste 240
Glendale, CA 91207-2085 - Phone
- (818) 242-0720
- Fax
- (818) 242-1248
- NPI assigned
- Jul 22, 2007
- Last updated
- Jan 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Nakhikian
- Title
- Ceo
- Phone
- (818) 242-0720
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Health Agency | 251E00000X | 550001261 | CA | Primary |
Addresses
Primary practice location
221 E. Glenoaks Blvd.
Ste 240
Glendale, CA 91207-2085
Mailing address
221 E. Glenoaks Blvd.
Ste 240
Glendale, CA 91207-2085
Phone (818) 242-0720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070806000796 | CA | Part A Provider - Home Health Agency | 8729179767 | Practice locations: Glendale, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1821298449. Details of each certification follow.
Home health agency certification: CCN 059231
- Legal name
- PLANET HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 1, 2010
- Last certification
- May 9, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 25, 2007 in CA
- Enrollment address
- 221 E Glenoaks Blvd
Suite 240
Glendale, CA 91207-2085
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Planet Home Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 1, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
221 E Glenoaks Blvd
Ste 240
Glendale, CA 91207
Phone (818) 242-0720
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gor Nakhikyan | 5% Or Greater Direct Ownership Interest | Apr 16, 2020 | 40% |
| Corporate Officer | Apr 16, 2020 | 40% | |
| Corporate Director | Apr 16, 2020 | 40% | |
| W-2 Managing Employee | Apr 16, 2020 | 40% | |
| Maro Safrazbekyan | 5% Or Greater Direct Ownership Interest | Apr 16, 2020 | 20% |
| Corporate Officer | Apr 16, 2020 | 20% | |
| Corporate Director | Apr 16, 2020 | 20% | |
| W-2 Managing Employee | Apr 16, 2020 | 20% | |
| Ara Nakhikyan | 5% Or Greater Direct Ownership Interest | Apr 16, 2020 | 40% |
| Corporate Officer | Apr 16, 2020 | 40% | |
| Corporate Director | Apr 16, 2020 | 40% | |
| W-2 Managing Employee | Apr 16, 2020 | 40% |
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- General Practice Physician
- Glendale, CA
- NPI 1174545651
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294704000000",
"number": "1821298449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 E. GLENOAKS BLVD.",
"address_2": "STE 240",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912072085",
"telephone_number": "818-242-0720",
"fax_number": "818-242-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E. GLENOAKS BLVD.",
"address_2": "STE 240",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912072085",
"telephone_number": "818-242-0720",
"fax_number": "818-242-1248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANET HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-22",
"last_updated": "2011-01-11",
"status": "A",
"authorized_official_last_name": "NAKHIKIAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-242-0720"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550001261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.