Organization Active NPI

Healing Assistance Home Health Care

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1891465050
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALING ASSISTANCE HOME HEALTH CARE
Practice address
1545 N Verdugo Rd Ste 103
Glendale, CA 91208-2855
Phone
(818) 396-9176
Fax
(909) 756-8926
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Davit Ghrjyan
Title
Ceo
Phone
(818) 396-9176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1545 N Verdugo Rd Ste 103
Glendale, CA 91208-2855

Mailing address

1545 N Verdugo Rd Ste 103
Glendale, CA 91208-2855
Phone (818) 396-9176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231227002352 CA Part A Provider - Home Health Agency 6406206887 Practice locations: Glendale, CA

Home health agency certification: CCN 757791

Legal name
HEALING ASSISTANCE HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 11, 2024
Last certification
Oct 2, 2024
Organization structure
CorporationProprietary
Incorporated
Aug 13, 2021 in CA
Enrollment address
1545 N Verdugo Rd
Ste 103
Glendale, CA 91208-2855

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healing Assistance Home Health CareCCN 757791
Ownership
-
Certified
Oct 11, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1545 N Verdugo Rd
Ste 103
Glendale, CA 91208
Phone (818) 396-9176

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
Kamo Voskanyan Individual 5% Or Greater Direct Ownership Interest Oct 10, 2023 100%
Corporate OfficerCeo/Secretary/Cfo Aug 21, 2023 100%
Corporate DirectorCeo/Secretary/Cfo Oct 10, 2023 100%
W-2 Managing EmployeeCeo/Secretary/Cfo Oct 10, 2023 100%

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1891465050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 N VERDUGO RD STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082855",
            "telephone_number": "818-396-9176",
            "fax_number": "909-756-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N VERDUGO RD STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082855",
            "telephone_number": "818-396-9176",
            "fax_number": "909-756-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ASSISTANCE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "GHRJYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-396-9176"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.