Glendale Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GLENDALE HOME HEALTH, INC.

Practice address

2600 Foothill Blvd Ste 207
La Crescenta, CA 91214-4579

Phone

(747) 268-0550

Fax

(747) 268-0551

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Michael Lim

Title

Ceo

Phone

(747) 268-0550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559315

Legal name

GLENDALE HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 1, 2020

Last certification

Sep 1, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 22, 2019 in CA

Enrollment address

2600 Foothill Blvd
Ste 207
La Crescenta, CA 91214-4579

Listed as

Glendale Home Health IncCCN 559315

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Sep 1, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1881243939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FOOTHILL BLVD STE 207",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144579",
            "telephone_number": "747-268-0550",
            "fax_number": "747-268-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FOOTHILL BLVD STE 207",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144579",
            "telephone_number": "747-268-0550",
            "fax_number": "747-268-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-268-0550"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.