BRILLIANT HEALTH HOME CARE, INC
NPI 1255991105
Home Health in Glendale, CA

Q: What is Brilliant Health Home Care, Inc's NPI number?

The NPI number for Brilliant Health Home Care, Inc is 1255991105. It was assigned to this organization in the NPPES registry on June 13, 2019.

Q: What is Brilliant Health Home Care, Inc's specialty?

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

Active since June 13, 2019CLIA 05D2276400 · Waiver

730 S CENTRAL AVE STE 205, GLENDALE, CA 91204(747) 240-6028(747) 240-6706 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2026, Jun 13, 2019 (2 updates tracked since 2019).

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About Brilliant Health Home Care, Inc NPPES

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

BRILLIANT HEALTH HOME CARE, INC (NPI 1255991105) is a healthcare organization registered as a home health in Glendale, California and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Larry Treystman, Manager, as its authorized official.

NPPES Registry Identity

NPI1255991105

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameBRILLIANT HEALTH HOME CARE, INC

Location Address730 S CENTRAL AVE STE 205Glendale, CA 91204-4340

Mailing Address730 S Central Ave Ste 205Glendale, CA 91204-4340 · (747) 240-6028 · Fax (747) 240-6706

Phone(747) 240-6028

Fax(747) 240-6706

Organization SubpartNo

Authorized OfficialLarry TreystmanManager · (747) 240-6028

Enumeration DateJune 13, 2019

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1255991105 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.

730 S CENTRAL AVE STE 205, Glendale, CA 91204

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20191224000178Part A · Home Health AgencyDue dateDecember 31, 2026

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2276400

Brilliant Health Home Care, Inc · Glendale, CA

Active · expires Feb 7, 2027

CLIA Number05D2276400

Laboratory TypeHome Health Agency

Certificate Effective DateFebruary 8, 2025

Certificate Expiration DateFebruary 7, 2027

Laboratory DirectorBerj Dermendjian

Laboratory Phone(747) 240-6028

Laboratory LocationBrilliant Health Home Care, Inc730 S Central Ave Ste 205, Glendale, CA 91204

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Brilliant Health Home Care, Inc's NPI number?

The NPI number for Brilliant Health Home Care, Inc is 1255991105. It was assigned to this organization in the NPPES registry on June 13, 2019.

Where is Brilliant Health Home Care, Inc located?

Brilliant Health Home Care, Inc is located at 730 S Central Ave Ste 205, Glendale, CA 91204. The listed phone number is (747) 240-6028.

What is Brilliant Health Home Care, Inc's specialty?

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

Is Brilliant Health Home Care, Inc enrolled in Medicare?

Yes. Brilliant Health Home Care, Inc is registered in the Medicare PECOS enrollment system.

When is Brilliant Health Home Care, 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 December 31, 2026. 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.

Does Brilliant Health Home Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2276400) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brilliant Health Home Care, Inc was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.