Avanta Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVANTA HOME HEALTH SERVICES

Practice address

620 W Route 66 Ste 216
Glendora, CA 91740-4173

Phone

(747) 300-8989

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sofi Knyazyan

Title

Ceo

Phone

(747) 300-8989

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 1992366678. Details of each certification follow.

• CCN 559490 Home health agency · Active · Details

Home health agency certification: CCN 559490

Legal name

AVANTA HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 18, 2021

Last certification

May 18, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

2915 W Burbank Blvd
Unit B
Burbank, CA 91505-2310

Listed as

Avanta Home Health ServicesCCN 559490 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

May 18, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Affiliated clinicians 2

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

• Diana Shajanian, FNP

  • Family Nurse Practitioner
  • Sunland, CA
  • NPI 1245020700

  Home health agency

  Care Compare affiliation
• Winifred Williams, M.D.

  • Internal Medicine Physician
  • Canoga Park, CA
  • NPI 1982788253

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1992366678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 216",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "747-300-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 216",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "747-300-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTA HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "KNYAZYAN",
        "authorized_official_first_name": "SOFI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-300-8989"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violeta Angeles Atiga, M.D.
• Plaridel Cerna Atil, MD
• Brandon Au
• Authentic Home Health Agency Inc.
• Maria Avakian
• Amy Lucille Averweg
• Kwame Fosu Awuah, PHARMD
• Ashley Writer Azcarraga, PSY.D.
• Fatimah Badran, DPM
• Bahbah Chiropractic Corporation

• 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 Jun 24, 2019; 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.