Organization Active NPI

San Bernardino Home Healthcare, Inc

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1922406248
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAN BERNARDINO HOME HEALTHCARE, INC
Practice address
1117 N Hollywood Way
Burbank, CA 91505-2528
Phone
(888) 530-9717
Fax
(888) 530-9705
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Edna Madatyan
Title
Ceo
Phone
(888) 530-9717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1117 N Hollywood Way
Burbank, CA 91505-2528

Mailing address

1117 N Hollywood Way
Burbank, CA 91505-2528
Phone (888) 530-9717

Other practice location 1

505 N Arrowhead Ave
#407
San Bernardino, CA 92401-1200
Phone (909) 453-3245

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180209000243 CA Part A Provider - Home Health Agency 3971896960 Practice locations: Burbank, CA

Home health agency certification: CCN 553152

Legal name
SAN BERNARDINO HOME HEALTHCARE, INC
Doing business as
CAPITAL HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 27, 2018
Last certification
Nov 27, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 10, 2014 in CA
Enrollment address
1117 N Hollywood Way
Burbank, CA 91505-2528

Care Compare: Home health agency

Medicare Care Compare
Listed as
Capital Home Health CareCCN 553152
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 27, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2155739San Bernardino Home Healthcare Inc1117 N Hollywood Way, Burbank, CA 91505Certificate of waiverOct 2, 2026

National Provider Directory

National Provider Directory

Locations

1117 N Hollywood Way
Burbank, CA 91505
Phone (818) 848-8060

505 N Arrowhead Ave
Ste 407
San Bernardino, CA 92401
Phone (909) 453-3245

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
Edna Madatyan Individual 5% Or Greater Direct Ownership InterestCeo, Cfo, Secretary Jun 13, 2017 100%
Corporate OfficerCeo, Cfo, Secretary Jun 13, 2017 100%
Corporate DirectorCeo, Cfo, Secretary Jun 13, 2017 100%
W-2 Managing EmployeeCeo, Cfo, Secretary Jun 13, 2017 100%
Operational/Managerial ControlCeo, Cfo, Secretary Jun 13, 2017 100%

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": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1922406248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N HOLLYWOOD WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052528",
            "telephone_number": "888-530-9717",
            "fax_number": "888-530-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N HOLLYWOOD WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052528",
            "telephone_number": "888-530-9717",
            "fax_number": "888-530-9705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N Arrowhead Ave",
            "address_2": "#407",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011200",
            "country_code": "US",
            "telephone_number": "909-453-3245",
            "fax_number": "909-453-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN BERNARDINO HOME HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "MADATYAN",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-530-9717"
    },
    "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.