Organization Active NPI

Dignitonic Home Care LLC

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1891253852
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIGNITONIC HOME CARE LLC
Practice address
2600 W Olive Ave Ste 535
Burbank, CA 91505-4549
Phone
(818) 533-8080
Fax
(818) 303-3373
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Fred Grigoryan
Title
President
Phone
(818) 533-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2600 W Olive Ave Ste 535
Burbank, CA 91505-4549

Mailing address

2600 W Olive Ave Ste 535
Burbank, CA 91505-4549
Phone (818) 533-8080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210201000892 CA Part A Provider - Home Health Agency 0042624199 Practice locations: Burbank, CA

Home health agency certification: CCN 559687

Legal name
DIGNITONIC HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 1, 2021
Last certification
Dec 1, 2021
Organization structure
LLCProprietary
Incorporated
Feb 28, 2019 in CA
Enrollment address
2600 W Olive Ave
Ste 535
Burbank, CA 91505-4549

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dignitonic Home Care LLCCCN 559687 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
Dec 1, 2021
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
05D2225433Dignitonic Home Care LLC2600 W Olive Avenue Suite 535, Burbank, CA 91505Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

4000 W Burbank Blvd
Ste 118
Burbank, CA 91505
Phone (818) 533-8080

2600 W Olive Ave
Ste 535
Burbank, CA 91505
Phone (818) 533-8080

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
Hamest E Grigoryan Individual 5% Or Greater Direct Ownership InterestOwner Feb 28, 2019 50%
Corporate DirectorVice President Feb 28, 2019 50%
Fred Grigoryan Individual 5% Or Greater Direct Ownership InterestOwner Feb 28, 2019 50%
Corporate DirectorPresident Feb 28, 2019 50%
W-2 Managing EmployeePresident Feb 28, 2019 50%

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": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1891253852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W OLIVE AVE STE 535",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054549",
            "telephone_number": "818-533-8080",
            "fax_number": "818-303-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W OLIVE AVE STE 535",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054549",
            "telephone_number": "818-533-8080",
            "fax_number": "818-303-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITONIC HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-533-8080"
    },
    "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.