Organization Active NPI

Harbor HHA

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1912653601
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HARBOR HHA
Practice address
135 N Victory Blvd Ste 7
Burbank, CA 91502-1837
Phone
(818) 588-3311
Fax
(818) 588-3317
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Frida Enfiajyan
Title
Ceo
Phone
(818) 588-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

135 N Victory Blvd Ste 7
Burbank, CA 91502-1837

Mailing address

135 N Victory Blvd Ste 7
Burbank, CA 91502-1837
Phone (818) 588-3311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104002795 CA Part A Provider - Home Health Agency 3678924578 Practice locations: Burbank, CA

Home health agency certification: CCN 757794

Legal name
HARBOR HHA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 29, 2024
Last certification
Oct 23, 2024
Organization structure
CorporationProprietary
Enrollment address
135 N Victory Blvd
Ste 7
Burbank, CA 91502-1837

Care Compare: Home health agency

Medicare Care Compare
Listed as
Harbor HHACCN 757794
Ownership
-
Certified
Oct 29, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

135 N Victory Blvd
Ste 7
Burbank, CA 91502
Phone (818) 588-3311

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
Frida Enfiajyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/49% Owner Jan 23, 2025 49%
Corporate OfficerCeo/Cfo/49% Owner Jan 23, 2025 49%
Corporate DirectorCeo/Cfo/49% Owner Jan 23, 2025 49%
W-2 Managing EmployeeCeo/Cfo/49% Owner Jan 23, 2025 49%
Irina Beglaryan Individual 5% Or Greater Direct Ownership Interest51% Owner Jan 23, 2025 51%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1912653601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N VICTORY BLVD STE 7",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021837",
            "telephone_number": "818-588-3311",
            "fax_number": "818-588-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N VICTORY BLVD STE 7",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021837",
            "telephone_number": "818-588-3311",
            "fax_number": "818-588-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "ENFIAJYAN",
        "authorized_official_first_name": "FRIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-588-3311"
    },
    "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.