FORMEN & FORMEN HOME HEALTH, INC.
NPI 1255821070
Home Health in Pasadena, CA

Q: What is Formen & Formen Home Health, Inc.'s NPI number?

The NPI number for Formen & Formen Home Health, Inc. is 1255821070. It was assigned to this organization in the NPPES registry on May 16, 2018.

Q: What is Formen & Formen Home Health, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since May 16, 2018

1191 E WALNUT ST STE 201, PASADENA, CA 91106(626) 345-5239 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Formen & Formen Home Health, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORMEN & FORMEN HOME HEALTH, INC. (NPI 1255821070) is a healthcare organization registered as a home health in Pasadena, California and active in the NPI registry since May 2018. The organization lists Lusine Adamyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255821070

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameFORMEN & FORMEN HOME HEALTH, INC.

Location Address1191 E WALNUT ST STE 201Pasadena, CA 91106-1868

Mailing Address1191 E Walnut St Ste 201Pasadena, CA 91106-1868

Phone(626) 345-5239

Organization SubpartNo

Authorized OfficialLusine AdamyanCeo · (626) 345-5239

Enumeration DateMay 16, 2018

✔ NPI 1255821070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

1191 E WALNUT ST STE 201, Pasadena, CA 91106

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Formen & Formen Home Health, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20201215001734Part A · Home Health AgencyDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JASON PAUL KNIGHT LMFT

Marriage & Family Therapist

1191 E WALNUT ST STE 201
PASADENA, CA 91106

Los Angeles County (562) 489-4571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Formen & Formen Home Health, Inc.'s NPI number?

The NPI number for Formen & Formen Home Health, Inc. is 1255821070. It was assigned to this organization in the NPPES registry on May 16, 2018.

Where is Formen & Formen Home Health, Inc. located?

Formen & Formen Home Health, Inc. is located at 1191 E Walnut St Ste 201, Pasadena, CA 91106. The listed phone number is (626) 345-5239.

What is Formen & Formen Home Health, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Formen & Formen Home Health, Inc. enrolled in Medicare?

Yes. Formen & Formen Home Health, Inc. is registered in the Medicare PECOS enrollment system.

When is Formen & Formen Home Health, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Home Health Agency) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Formen & Formen Home Health, Inc. was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.