Organization Active NPI

Optima Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1841415585
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000739 Issued in CA
Legal business name
OPTIMA HEALTH CARE, INC.
Practice address
1545 N Verdugo Rd
Suite 108
Glendale, CA 91208-2841
Phone
(818) 507-6957
Fax
(818) 827-3067
NPI assigned
Apr 16, 2007
Last updated
Jul 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Edvin E Baghdasarians
Title
Ceo
Phone
(818) 507-6957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000739 CA Primary

Addresses

Primary practice location

1545 N Verdugo Rd
Suite 108
Glendale, CA 91208-2841

Mailing address

1545 N Verdugo Rd
Suite 108
Glendale, CA 91208-2841
Phone (818) 507-6957

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070611000709 CA Part A Provider - Home Health Agency 0749388965 Practice locations: La Canada Flintridge, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841415585. Details of each certification follow.

Home health agency certification: CCN 059005

Legal name
OPTIMA HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 24, 2008
Last certification
Jun 22, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 30, 2007 in CA
Enrollment address
4532 Rinetti LN
La Canada Flintridge, CA 91011-3310

Care Compare: Home health agency

Medicare Care Compare
Listed as
Optima Health Care, IncCCN 059005 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 24, 2008
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
05D2005963Optima Health Care Inc4532 Rinetti LN, La Canada, CA 91011Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

Locations

4532 Rinetti Ln
La Canada Flintridge, CA 91011
Phone (818) 507-6957

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
Emelia E Baghdasarians Individual W-2 Managing EmployeeAdministrator May 12, 2009
Operational/Managerial ControlAdministrator Apr 21, 2009 100%
Edvin E Baghdasarians Individual 5% Or Greater Direct Ownership InterestOwner May 12, 2009 100%
Corporate OfficerCeo May 12, 2009 100%
Corporate DirectorDirector/Board Member May 12, 2009 100%
W-2 Managing EmployeeCeo May 12, 2009 100%
Alfret Moradian Individual W-2 Managing EmployeeLan Director Sep 1, 2011
Operational/Managerial ControlLab Director May 12, 2009

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1841415585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 N VERDUGO RD",
            "address_2": "SUITE 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082841",
            "telephone_number": "818-507-6957",
            "fax_number": "818-827-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N VERDUGO RD",
            "address_2": "SUITE 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082841",
            "telephone_number": "818-507-6957",
            "fax_number": "818-827-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "BAGHDASARIANS",
        "authorized_official_first_name": "EDVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-507-6957"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.