Organization Active NPI

Circle of Life Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1932575834
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CIRCLE OF LIFE HOME HEALTH, INC.
Practice address
1241 S Glendale Ave Ste 202a
Glendale, CA 91205-3385
Phone
(818) 405-9464
Fax
(818) 396-3187
NPI assigned
Aug 13, 2015
Last updated
Aug 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Hayk Sahakyan
Title
Ceo
Phone
(818) 405-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1241 S Glendale Ave Ste 202a
Glendale, CA 91205-3385

Mailing address

1241 S Glendale Ave Ste 202a
Glendale, CA 91205-3385
Phone (818) 405-9464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151006001005 CA Part A Provider - Home Health Agency 4587972815 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932575834. Details of each certification follow.

Home health agency certification: CCN 059771

Legal name
CIRCLE OF LIFE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 28, 2016
Last certification
Jun 1, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 14, 2014 in CA
Enrollment address
1241 S Glendale Ave
Ste 202a
Glendale, CA 91205-3388

Care Compare: Home health agency

Medicare Care Compare
Listed as
Circle of Life Home Health, IncCCN 059771 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Aug 28, 2016
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
05D2137881Circle of Life Home Health, Inc1241 S Glendale Ave, Ste 202a, Glendale, CA 91205Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory

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
Anthony H Sahakian Individual 5% Or Greater Direct Ownership Interest Jan 9, 2024 100%
Corporate OfficerCeo/Cfo/Secretary Jan 9, 2024 100%
Corporate DirectorCeo/Cfo/Secretary Jan 9, 2024 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Jan 9, 2024 100%

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": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1932575834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 202A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053385",
            "telephone_number": "818-405-9464",
            "fax_number": "818-396-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 202A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053385",
            "telephone_number": "818-405-9464",
            "fax_number": "818-396-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "SAHAKYAN",
        "authorized_official_first_name": "HAYK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-405-9464"
    },
    "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.