Organization Active NPI

Calmed Home Health Care, Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1952782823
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CALMED HOME HEALTH CARE, INC
Practice address
225 E Broadway Ste 304a
Glendale, CA 91205-1008
Phone
(747) 699-0068
Fax
(747) 699-0070
NPI assigned
Jun 16, 2015
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Sergei Avetisyan
Title
Ceo
Phone
(747) 699-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

225 E Broadway Ste 304a
Glendale, CA 91205-1008

Mailing address

225 E Broadway Ste 304a
Glendale, CA 91205-1008
Phone (747) 699-0068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150814012638 CA Part A Provider - Home Health Agency 0648585075 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952782823. Details of each certification follow.

Home health agency certification: CCN 559002

Legal name
CALMED HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 13, 2018
Last certification
Nov 13, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 16, 2015 in CA
Enrollment address
225 E Broadway
Ste 304a
Glendale, CA 91205-4099
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Calmed Home Health Care, IncCCN 559002 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 13, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

34400 Date Palm Dr
Ste P
Cathedral City, CA 92234
Phone (760) 537-0105

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anzhelika Manukyan Individual W-2 Managing EmployeeAdministrator Jun 16, 2015
Sergei Avetisyan Individual 5% Or Greater Direct Ownership Interest Apr 1, 2022 100%
Corporate OfficerCeo/Cfo/Secretary Apr 1, 2022
Corporate DirectorCeo/Cfo/Secretary Apr 1, 2022
W-2 Managing EmployeeCeo/Cfo/Secretary Apr 1, 2022

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1952782823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE 304A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "747-699-0068",
            "fax_number": "747-699-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE 304A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "747-699-0068",
            "fax_number": "747-699-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALMED HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-699-0068"
    },
    "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.