Active NPI
Circle of Life Home Health, Inc.
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 28, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2137881 | Circle of Life Home Health, Inc | Certificate of waiver | Oct 4, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Anthony H Sahakian | 5% Or Greater Direct Ownership Interest | Jan 9, 2024 | 100% |
| Corporate Officer | Jan 9, 2024 | 100% | |
| Corporate Director | Jan 9, 2024 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.