Blue Horizon PK, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUE HORIZON PK, INC

Practice address

7590 N Glenoaks Blvd Ste 110
Burbank, CA 91504-1003

Phone

(747) 298-9998

NPI assigned

Mar 4, 2022

Organization subpart

No

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

Authorized official

Name

Inga Eksyuzyan

Title

Ceo

Phone

(747) 298-9998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962159442. Details of each certification follow.

• CCN 757992 Home health agency · Active · Details

Home health agency certification: CCN 757992

Legal name

BLUE HORIZON PK INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 20, 2025

Last certification

Jun 11, 2025

Organization structure

CorporationProprietary

Enrollment address

7590 N Glenoaks Blvd
Ste 110
Burbank, CA 91504-1003

Listed as

Blue Horizon PK, Inc.CCN 757992 · All quality measures

Ownership

-

Certified

Jun 20, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1962159442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 FOOTHILL BLVD STE 204",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 N GLENOAKS BLVD STE 110",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041003",
            "telephone_number": "747-298-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HORIZON PK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "EKSYUZYAN",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-298-9998"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Kay Bloom, MFT
• Gitte S. Bloom, M.D.
• Blooming Rose Hospice, Inc.
• Thumper Bloomquist, D.C.
• Blue Horizon Home Health Inc
• Blue Ribbon Home Health Inc
• Nicanor Lumbre Bobadilla I
• Nicholas Bobolia III
• Katharine Bock
• Emma Claire Boda

• Home Health Agency in Burbank, CA
• Providers in Burbank, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.

Verify at the official NPI Registry.