Organization Active NPI

Crystal Care Home Health Services Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1912645920
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CRYSTAL CARE HOME HEALTH SERVICES INC.
Practice address
350 Arden Ave Ste 207
Glendale, CA 91203-1110
Phone
(747) 307-1725
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Siranush Korkotyan
Title
Ceo
Phone
(747) 307-1725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

350 Arden Ave Ste 207
Glendale, CA 91203-1110

Mailing address

350 Arden Ave Ste 207
Glendale, CA 91203-1110

National Provider Directory

National Provider Directory

Locations

350 Arden Ave
Ste 207
Glendale, CA 91203
Phone (747) 307-1725

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1912645920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ARDEN AVE STE 207",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ARDEN AVE STE 207",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031110",
            "telephone_number": "747-307-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CARE HOME HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "KORKOTYAN",
        "authorized_official_first_name": "SIRANUSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-307-1725"
    },
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.