Organization Active NPI

Hospitality Home Health Care, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1871186908
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOSPITALITY HOME HEALTH CARE, INC.
Practice address
210 N Pass Ave Ste 203
Burbank, CA 91505-3936
Phone
(747) 333-6855
NPI assigned
Feb 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Anna Antonyan
Title
Ceo
Phone
(747) 333-6855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

210 N Pass Ave Ste 203
Burbank, CA 91505-3936

Mailing address

210 N Pass Ave Ste 203
Burbank, CA 91505-3936
Phone (747) 333-6855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221108000727 CA Part A Provider - Home Health Agency 2668854993 Practice locations: Burbank, CA

Home health agency certification: CCN 757258

Legal name
HOSPITALITY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 17, 2023
Last certification
May 17, 2023
Organization structure
CorporationProprietary
Enrollment address
210 N Pass Ave
Ste 203
Burbank, CA 91505-3936

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hospitality Home Health Care, Inc.CCN 757258
Overall star rating
2 of 5
Ownership
-
Certified
May 17, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2313334Hospitality Home Health Care, Inc210 N Pass Ave Ste 203, Burbank, CA 91505Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory

Locations

210 N Pass Ave
Ste 203
Burbank, CA 91505
Phone (747) 333-6855

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anna Antonyan Individual 5% Or Greater Direct Ownership InterestCeo Jan 29, 2021 100%
Corporate OfficerCeo Jan 29, 2021 100%
Corporate DirectorCeo Jan 29, 2021 100%
W-2 Managing EmployeeCeo Jan 29, 2021 100%
Anna Manucharyan Individual W-2 Managing EmployeeAd;Ad;DPCS Apr 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1871186908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N PASS AVE STE 203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053936",
            "telephone_number": "747-333-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N PASS AVE STE 203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053936",
            "telephone_number": "747-333-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALITY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "ANTONYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-333-6855"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.