Innovative Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVATIVE HOME HEALTH INC

Practice address

1220 W Glenoaks Blvd Ste 104a
Glendale, CA 91201-2231

Phone

(747) 900-0037

Fax

(747) 600-0306

NPI assigned

Dec 3, 2021

Organization subpart

No

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

Authorized official

Name

Artur Ghukasyan

Title

Ceo

Phone

(747) 900-0037

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757595

Legal name

INNOVATIVE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 29, 2024

Last certification

Feb 29, 2024

Organization structure

CorporationProprietary

Incorporated

May 1, 2019 in CA

Enrollment address

1220 W Glenoaks Blvd
Ste 104a
Glendale, CA 91201-2231

Listed as

Innovative Home Health IncCCN 757595 · All quality measures

Overall star rating

2.5 of 5

Ownership

-

Certified

Feb 29, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1841958162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W GLENOAKS BLVD STE 104A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012231",
            "telephone_number": "747-900-0037",
            "fax_number": "747-600-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W GLENOAKS BLVD STE 104A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012231",
            "telephone_number": "747-900-0037",
            "fax_number": "747-600-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "GHUKASYAN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-900-0037"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendale, CA
• Providers in Glendale, 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 Dec 3, 2021; 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.

Verify at the official NPI Registry.