Organization Active NPI

Vanguard Home Health Care Inc

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1942768288
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VANGUARD HOME HEALTH CARE INC
Practice address
4444 W Riverside Dr Ste 110
Burbank, CA 91505-4048
Phone
(818) 617-9560
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Hagop Balyan
Title
Ceo/Administrator
Phone
(818) 617-9560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4444 W Riverside Dr Ste 110
Burbank, CA 91505-4048

Mailing address

4444 W Riverside Dr Ste 110
Burbank, CA 91505-4048
Phone (818) 617-9560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528000700 CA Part A Provider - Home Health Agency 6800200130 Practice locations: Burbank, CA

Home health agency certification: CCN 559564

Legal name
VANGUARD HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 24, 2021
Last certification
Aug 23, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 23, 2018 in CA
Enrollment address
4444 W Riverside Dr
Ste 110
Burbank, CA 91505-4048

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vanguard Home Health Care, Inc.CCN 559564
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 24, 2021
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
05D2285204Vanguard Home Health Care, Inc4444 W Riverside Dr Ste 110, Burbank, CA 91505Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

Locations

4444 W Riverside Dr
Ste 110
Burbank, CA 91505
Phone (818) 557-7538

3169 Barbara Ct
Ste D
Los Angeles, CA 90068
Phone (818) 617-9560

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
Hagop Balyan Individual 5% Or Greater Direct Ownership Interest Aug 23, 2018 100%
Corporate OfficerCeo Aug 23, 2018 100%
Corporate DirectorBoard Director Aug 23, 2018 100%
W-2 Managing EmployeeAdministrator Aug 23, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1942768288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR STE 110",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054048",
            "telephone_number": "818-617-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR STE 110",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054048",
            "telephone_number": "818-617-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "BALYAN",
        "authorized_official_first_name": "HAGOP",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-617-9560"
    },
    "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.