Organization Active NPI

Multi Group Home Care, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1992477129
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MULTI GROUP HOME CARE, INC.
Practice address
2812 N San Fernando Blvd Ste a
Burbank, CA 91504-2520
Phone
(747) 474-0707
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Edvard Hakobyan
Title
Ceo
Phone
(747) 474-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2812 N San Fernando Blvd Ste a
Burbank, CA 91504-2520

Mailing address

2812 N San Fernando Blvd Ste a
Burbank, CA 91504-2520
Phone (747) 474-0707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230616000793 CA Part A Provider - Home Health Agency 1850759259 Practice locations: Burbank, CA

Home health agency certification: CCN 757564

Legal name
MULTI GROUP HOME CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 27, 2024
Last certification
Feb 20, 2024
Organization structure
CorporationProprietary
Enrollment address
120 N Victory Blvd
Ste 105
Burbank, CA 91502-0001

Care Compare: Home health agency

Medicare Care Compare
Listed as
Multi Group Home Care, Inc.CCN 757564
Ownership
-
Certified
Feb 27, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2812 N San Fernando Blvd
Ste A
Burbank, CA 91504
Phone (747) 474-0707

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
Edvard Hakobyan Individual 5% Or Greater Direct Ownership Interest Sep 7, 2021 100%
Corporate OfficerCeo Sep 7, 2021 100%
Corporate DirectorCeo Sep 7, 2021 100%
Operational/Managerial ControlCeo Sep 7, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1992477129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 N SAN FERNANDO BLVD STE A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042520",
            "telephone_number": "747-474-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 N SAN FERNANDO BLVD STE A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042520",
            "telephone_number": "747-474-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI GROUP HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "EDVARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-474-0707"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.