Organization Active NPI

Wellness Mind Home Health Care

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1962078493
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELLNESS MIND HOME HEALTH CARE
Practice address
209 E Alameda Ave Ste 103
Burbank, CA 91502-2673
Phone
(818) 588-3004
NPI assigned
Jun 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Varditer Sargsyan
Title
Ceo
Phone
(818) 588-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

209 E Alameda Ave Ste 103
Burbank, CA 91502-2673

Mailing address

209 E Alameda Ave Ste 103
Burbank, CA 91502-2673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221210000036 CA Part A Provider - Home Health Agency 5799166807 Practice locations: Burbank, CA

Home health agency certification: CCN 757365

Legal name
WELLNESS MIND HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 26, 2023
Last certification
Jul 26, 2023
Organization structure
CorporationProprietary
Incorporated
Apr 20, 2021 in CA
Enrollment address
209 E Alameda Ave
Ste 103
Burbank, CA 91502-2673

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wellness Mind Home Health CareCCN 757365 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Jul 26, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

209 E Alameda Ave
Ste 103
Burbank, CA 91502
Phone (818) 588-3004

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
Gayane Begloyan Individual 5% Or Greater Direct Ownership InterestCeo Apr 20, 2021 100%
Corporate OfficerCeo Apr 20, 2021 100%
Corporate DirectorCeo Apr 20, 2021 100%
W-2 Managing EmployeeCeo Apr 20, 2021 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": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1962078493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E ALAMEDA AVE STE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E ALAMEDA AVE STE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022673",
            "telephone_number": "818-588-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MIND HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "VARDITER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-588-3004"
    },
    "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.