Organization Active NPI

Healing Home Health

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1992344873
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALING HOME HEALTH
Practice address
815 S Central Ave Ste 4
Glendale, CA 91204-2073
Phone
(818) 207-7737
Fax
(818) 241-4242
NPI assigned
Dec 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Edgar Ayrapetyan
Title
Ceo
Phone
(818) 207-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

815 S Central Ave Ste 4
Glendale, CA 91204-2073

Mailing address

815 S Central Ave Ste 4
Glendale, CA 91204-2073
Phone (818) 207-7737

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL healinghomeh@gmail.com Direct
Other URL healinghomeh@gmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220629002553 CA Part A Provider - Home Health Agency 8325428998 Practice locations: Glendale, CA

Home health agency certification: CCN 757072

Legal name
HEALING HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 9, 2022
Last certification
Sep 9, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 14, 2019 in CA
Enrollment address
815 S Central Ave
Ste 4
Glendale, CA 91204-2073
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healing Home HealthCCN 757072
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Sep 9, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational 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
05D2203496Healing Home Health815 South Central Avenue Suite 4, Glendale, CA 91204Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

815 S Central Ave
Ste 4
Glendale, CA 91204
Phone (818) 207-7737

321 N Verdugo Rd
Glendale, CA 91206

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
Edgar Ayrapetyan Individual 5% Or Greater Direct Ownership InterestCeo Jun 14, 2019 100%
Corporate OfficerCeo Jun 14, 2019 100%
Corporate DirectorCeo Jun 14, 2019 100%
W-2 Managing EmployeeCeo Jun 14, 2019 100%
Operational/Managerial ControlCeo Jun 14, 2019 100%

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1992344873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S CENTRAL AVE STE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042073",
            "telephone_number": "818-207-7737",
            "fax_number": "818-241-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S CENTRAL AVE STE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042073",
            "telephone_number": "818-207-7737",
            "fax_number": "818-241-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "AYRAPETYAN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-207-7737"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "healinghomeh@gmail.com",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL ADDRESS",
            "address_1": "321 N Verdugo Rd",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912063944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "healinghomeh@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email address",
            "address_1": "815 S Central Ave Ste 4",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912042073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.