Organization Active NPI

Fergus Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1851768410
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001447 Issued in CA
Legal business name
FERGUS HOME HEALTH, INC.
Practice address
1241 S Glendale Ave, Ste 203
Glendale, CA 91205-3204
Phone
(818) 862-4020
Fax
(818) 514-2693
NPI assigned
Aug 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Lala Bayanduryan
Title
Ceo
Phone
(818) 862-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001447 CA Primary

Addresses

Primary practice location

1241 S Glendale Ave, Ste 203
Glendale, CA 91205-3204

Mailing address

1241 S Glendale Ave, Ste 203
Glendale, CA 91205-3204
Phone (818) 862-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 24, 2021 Change of OwnershipThis provider was the seller Neogen Care CorpCCN 059750, CA, NPI 1861072340

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1851768410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE, STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053204",
            "telephone_number": "818-862-4020",
            "fax_number": "818-514-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE, STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053204",
            "telephone_number": "818-862-4020",
            "fax_number": "818-514-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "BAYANDURYAN",
        "authorized_official_first_name": "LALA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-862-4020"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.