Organization Active NPI

Guardian Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1992941231
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN HOME HEALTH, INC.
Practice address
1101 E Broadway
Suite 107
Glendale, CA 91205-1383
Phone
(818) 291-8444
Fax
(818) 291-8443
NPI assigned
Dec 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Arsen Mikayelyan
Title
Ceo/President
Phone
(818) 291-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

1101 E Broadway
Suite 107
Glendale, CA 91205-1383

Mailing address

1101 E Broadway
Suite 107
Glendale, CA 91205-1383
Phone (818) 291-8444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090130000546 CA Part A Provider - Home Health Agency 0446314702 Practice locations: Glendale, CA

Home health agency certification: CCN 059234

Legal name
GUARDIAN HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 10, 2010
Last certification
May 2, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 12, 2007 in CA
Enrollment address
1101 E Broadway
Ste 107
Glendale, CA 91205-1394

Care Compare: Home health agency

Medicare Care Compare
Listed as
Guardian Home Health, IncCCN 059234
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 10, 2010
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
05D1099061Guardian Home Health, Inc1101 E Broadway Ave Ste 107, Glendale, CA 91205Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Guardian Home Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 E Broadway
Ste 107
Glendale, CA 91205
Phone (818) 291-8444

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
Robert Grigorian Individual 5% Or Greater Direct Ownership Interest Jun 12, 2009 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member Jun 12, 2009 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member Jun 12, 2009 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member Jun 12, 2009 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1992941231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E BROADWAY",
            "address_2": "SUITE 107",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051383",
            "telephone_number": "818-291-8444",
            "fax_number": "818-291-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E BROADWAY",
            "address_2": "SUITE 107",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051383",
            "telephone_number": "818-291-8444",
            "fax_number": "818-291-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "MIKAYELYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-291-8444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.