Organization Active NPI

Silverwood Home Health Care

  • Home Health Agency
  • Glendora, CA
National Provider Identifier
1861076432
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 10, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
1122 E Lincoln Ave
Ste B400-B
Orange, CA 92865-1907

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Vanessa Sheryl Calilung Individual 5% Or Greater Direct Ownership Interest May 8, 2024 100%
Corporate OfficerPresident/Ceo/Secretary May 8, 2024 100%
Corporate DirectorPresident/Ceo/Secretary May 8, 2024 100%
W-2 Managing EmployeeAd; 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

Verify at the official NPI Registry.