Eternal Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ETERNAL HOME HEALTH CARE INC

Practice address

2600 Foothill Blvd Ste 208
La Crescenta, CA 91214-4579

Phone

(747) 212-4540

Fax

(747) 212-4541

NPI assigned

Mar 25, 2022

Organization subpart

No

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

Authorized official

Name

Meri Khudashyan

Title

Ceo

Phone

(747) 212-4540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757927

Legal name

ETERNAL HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 3, 2025

Last certification

Mar 28, 2025

Organization structure

CorporationProprietary

Enrollment address

2600 Foothill Blvd
Ste 208
La Crescenta, CA 91214-4579

Listed as

Eternal Home Health Care Inc.CCN 757927 · All quality measures

Ownership

-

Certified

Apr 3, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1902556624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FOOTHILL BLVD STE 208",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144579",
            "telephone_number": "747-212-4540",
            "fax_number": "747-212-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FOOTHILL BLVD STE 208",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144579",
            "telephone_number": "747-212-4540",
            "fax_number": "747-212-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "KHUDASHYAN",
        "authorized_official_first_name": "MERI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-212-4540"
    },
    "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 La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.