Organization Active NPI

Green Orchid Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1861159774
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GREEN ORCHID HOME HEALTH, INC.
Practice address
225 E Broadway Ste B117A
Glendale, CA 91205-1008
Phone
(818) 970-3914
NPI assigned
Nov 26, 2021
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Diana G Shats
Title
Ceo/Pres.
Phone
(626) 464-2932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

225 E Broadway Ste B117A
Glendale, CA 91205-1008

Mailing address

225 E Broadway Ste B117A
Glendale, CA 91205-1008
Phone (818) 970-3914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220329000270 CA Part A Provider - Home Health Agency 3072908169 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861159774. Details of each certification follow.

Home health agency certification: CCN 757409

Legal name
GREEN ORCHID HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 29, 2023
Last certification
Oct 11, 2023
Organization structure
CorporationProprietary
Incorporated
Nov 24, 2021 in CA
Enrollment address
225 E Broadway
Ste B117A
Glendale, CA 91205-1008

Care Compare: Home health agency

Medicare Care Compare
Listed as
Green Orchid Home Health, Inc.CCN 757409 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Oct 29, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

225 E Broadway
Ste B117A
Glendale, CA 91205
Phone (818) 970-3914

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
Diana G Shats Individual 5% Or Greater Direct Ownership Interest Nov 24, 2021 100%
Corporate DirectorBoard Member Nov 24, 2021 100%
W-2 Managing EmployeeCeo Nov 24, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1861159774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE B117A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "818-970-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE B117A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "818-970-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ORCHID HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "SHATS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO/PRES.",
        "authorized_official_telephone_number": "626-464-2932"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.