Active NPI
Fergus Home Health, Inc.
- Home Health Agency
- Glendale, CA
National Provider Identifier
1851768410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001447
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 24, 2021 | Change of Ownership | Neogen Care Corp |
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.
-
- Physical Therapist
- Glendale, CA
- NPI 1023887882
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.