Whole Heart Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WHOLE HEART HOME HEALTH AGENCY, INC.

Practice address

620 W Route 66 Ste 205
Glendora, CA 91740-4173

Phone

(323) 793-7452

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Zarik Mikaelyan

Title

Ceo

Phone

(818) 269-2181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 758101

Legal name

WHOLE HEART HOME HEALTH AGENCY, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 1, 2024

Last certification

Oct 22, 2024

Organization structure

CorporationProprietary

Enrollment address

121 W Lexington Dr
Ste 206D
Glendale, CA 91203-2230

Listed as

Whole Heart Home Health Agency, Inc.CCN 758101

Ownership

-

Certified

Nov 1, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Yepiskopsyan, REGISTERED NURSE

  • Home Health Registered Nurse
  • Glendale, CA
  • NPI 1669211298
  NPD

Affiliated clinicians 1

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

• Danny Jajune Lee

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1639799273

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1982374773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 205",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "323-793-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 205",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "323-793-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEART HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MIKAELYAN",
        "authorized_official_first_name": "ZARIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-269-2181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendora, CA
• Providers in Glendora, 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 Feb 10, 2023; 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.