NPIMap

Organization Active NPI

Emerald Healthcare Inc.

Doing business as Tucson Medical Home Health

  • Home Health Agency
  • Tucson, AZ
National Provider Identifier
1972955060
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EMERALD HEALTHCARE INC.
Doing business as
Tucson Medical Home Health
Practice address
7660 E Broadway Blvd Ste 103
Tucson, AZ 85710-3759
Phone
(520) 372-2144
NPI assigned
Jul 12, 2016
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Kristin Makinajyan, RN, BSN, BSNNPI 1851197016
Title
Director
Phone
(520) 372-2144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7660 E Broadway Blvd Ste 103
Tucson, AZ 85710-3759

Mailing address

7660 E Broadway Blvd Ste 103
Tucson, AZ 85710-3759
Phone (520) 372-2144

Other names 1

  • Tucson Medical Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200513001746 AZ Part A Provider - Home Health Agency 5496186199 Practice locations: Tucson, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972955060. Details of each certification follow.

Home health agency certification: CCN 037498

Legal name
EMERALD HEALTHCARE INC.
Doing business as
TUCSON MEDICAL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 4, 2020
Last certification
Dec 4, 2020
Ownership / control type
Government Operated
Organization structure
CorporationProprietary
Incorporated
Feb 23, 2016 in AZ
Enrollment address
7660 E Broadway Blvd
Ste 103
Tucson, AZ 85710-3759

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tucson Medical Home HealthCCN 037498 · All quality measures
Overall star rating
4.5 of 5
Ownership
Government Operated
Certified
Dec 4, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical 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
03D2192546Tucson Medical Home Health7660 E Broadway Blvd Ste 103, Tucson, AZ 85710Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory

Locations

2424 E Broadway Blvd
Ste 200
Tucson, AZ 85719

2509 N Campbell Ave
Tucson, AZ 85719

7660 E Broadway Blvd
Ste 103
Tucson, AZ 85710
Phone (520) 372-2144

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Ashot Sandoyan Individual 5% Or Greater Direct Ownership Interest Aug 16, 2019 50%
Corporate OfficerCfo Aug 16, 2019 10%
Corporate Director Aug 16, 2019 10%
Kristin Makinajyan Individual 5% Or Greater Direct Ownership Interest Aug 16, 2019 25%
Corporate OfficerCoo Aug 16, 2019 80%
Corporate Director Aug 16, 2019 80%
Annalcia Martinez Individual W-2 Managing EmployeeAdministrator Designee Dec 4, 2021 10%
Dikran Gligoriu Individual 5% Or Greater Direct Ownership Interest Aug 16, 2019 25%
Corporate OfficerCeo Aug 16, 2019 10%
Corporate DirectorPresident Aug 16, 2019 10%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1972955060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 E BROADWAY BLVD STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103759",
            "telephone_number": "520-372-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 E BROADWAY BLVD STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103759",
            "telephone_number": "520-372-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "MAKINAJYAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-372-2144",
        "authorized_official_credential": "RN, BSN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucson Medical Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.