Active NPI
Silverwood Home Health Care
- Home Health Agency
- Glendora, CA
National Provider Identifier
1861076432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SILVERWOOD HOME HEALTH CARE
- Practice address
- 502 W Route 66 # 22B
Glendora, CA 91740-4343 - Phone
- (818) 624-6360
- NPI assigned
- May 10, 2021
- 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
- Hovhannes Mkrtchyan
- Title
- Ceo
- Phone
- (818) 624-6360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
502 W Route 66 # 22B
Glendora, CA 91740-4343
Mailing address
502 W Route 66 # 22B
Glendora, CA 91740-4343
Phone (818) 624-6360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240730000399 | CA | Part A Provider - Home Health Agency | 6901343722 | Practice locations: Orange, CA |
Home health agency certification: CCN 758228
- Legal name
- SILVERWOOD HOME HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 21, 2025
- Last certification
- Mar 5, 2025
- Organization structure
- Corporation
- Enrollment address
- 1122 E Lincoln Ave
Ste B400-B
Orange, CA 92865-1907
National Provider Directory
National Provider DirectoryLocations
502 W Route 66
#22B
Glendora, CA 91740
1122 E Lincoln Ave
Ste B400B
Orange, CA 92865
Phone (818) 517-7506
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Vanessa Sheryl Calilung | 5% Or Greater Direct Ownership Interest | May 8, 2024 | 100% |
| Corporate Officer | May 8, 2024 | 100% | |
| Corporate Director | May 8, 2024 | 100% | |
| W-2 Managing Employee | May 8, 2024 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620604800000",
"number": "1861076432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 W ROUTE 66 # 22B",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404343",
"telephone_number": "818-624-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W ROUTE 66 # 22B",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404343",
"telephone_number": "818-624-6360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVERWOOD HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A",
"authorized_official_last_name": "MKRTCHYAN",
"authorized_official_first_name": "HOVHANNES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-624-6360"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.