Organization Active NPI

Clear Sky Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1922678846
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLEAR SKY HOME HEALTH CARE, INC.
Practice address
1915 W Glenoaks Blvd Ste 201a
Glendale, CA 91201-1541
Phone
(818) 538-7418
Fax
(818) 538-7419
NPI assigned
Jul 1, 2021
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Amalia KarapetyanNPI 1881559482
Title
Ceo
Phone
(818) 538-7418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1915 W Glenoaks Blvd Ste 201a
Glendale, CA 91201-1541

Mailing address

1915 W Glenoaks Blvd Ste 201a
Glendale, CA 91201-1541
Phone (818) 538-7418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220708001112 CA Part A Provider - Home Health Agency 3173903184 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922678846. Details of each certification follow.

Home health agency certification: CCN 757183

Legal name
CLEAR SKY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 9, 2023
Last certification
Mar 9, 2023
Organization structure
CorporationProprietary
Incorporated
Jun 8, 2021 in CA
Enrollment address
1915 W Glenoaks Blvd
Ste 201a
Glendale, CA 91201-1541

Care Compare: Home health agency

Medicare Care Compare
Listed as
Clear Sky Home Health Care, Inc.CCN 757183 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Mar 9, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1915 W Glenoaks Blvd
Ste 201A
Glendale, CA 91201
Phone (818) 463-0640

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
Amalia Karapetyan Individual 5% Or Greater Direct Ownership InterestCeo Jun 8, 2021 100%
Corporate OfficerCeo Jun 8, 2021 100%
Corporate DirectorCeo Jun 8, 2021 100%
W-2 Managing EmployeeCeo Jun 8, 2021 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1922678846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W GLENOAKS BLVD STE 201A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011541",
            "telephone_number": "818-538-7418",
            "fax_number": "818-538-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W GLENOAKS BLVD STE 201A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011541",
            "telephone_number": "818-538-7418",
            "fax_number": "818-538-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SKY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-538-7418"
    },
    "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.