NPIMap

Organization Active NPI

Homecare Medical Products Inc

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1962007146
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOMECARE MEDICAL PRODUCTS INC
Practice address
478 W Colorado St
Glendale, CA 91204-1504
Phone
(818) 247-7000
Fax
(818) 247-1323
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Haikouhi Heidi Kavoukjian
Title
Vice President
Phone
(323) 666-0414

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

478 W Colorado St
Glendale, CA 91204-1504

Mailing address

478 W Colorado St
Glendale, CA 91204-1504
Phone (818) 247-7000

Other identifiers 1

IdentifierTypeStateIssuer
PHY411650MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Homecare Medical Products Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1962007146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 W COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041504",
            "telephone_number": "818-247-7000",
            "fax_number": "818-247-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 W COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041504",
            "telephone_number": "818-247-7000",
            "fax_number": "818-247-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE MEDICAL PRODUCTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "KAVOUKJIAN",
        "authorized_official_first_name": "HAIKOUHI",
        "authorized_official_middle_name": "HEIDI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "323-666-0414"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY411650",
            "state": "CA"
        }
    ],
    "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 Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.