SAN BERNARDINO HOME HEALTHCARE, INC
NPI 1922406248
Home Health in Burbank, CA

Active since December 18, 2014CLIA 05D2155739 · Waiver
1117 N HOLLYWOOD WAY, BURBANK, CA 91505(888) 530-9717(888) 530-9705 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Bernardino Home Healthcare, Inc NPPES

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

SAN BERNARDINO HOME HEALTHCARE, INC (NPI 1922406248) is a healthcare organization registered as a home health in Burbank, California and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through October 2, 2026, maintains a secondary practice location in San Bernardino, and lists Edna Madatyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922406248
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSAN BERNARDINO HOME HEALTHCARE, INC
Location Address1117 N HOLLYWOOD WAYBurbank, CA 91505-2528
Mailing Address1117 N Hollywood WayBurbank, CA 91505-2528 · (888) 530-9717 · Fax (888) 530-9705
Fax(888) 530-9705
Organization SubpartNo
Authorized OfficialEdna MadatyanCeo · (888) 530-9717
Enumeration DateDecember 18, 2014
Last NPPES UpdateMarch 17, 2018
NPI 1922406248 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.
1117 N HOLLYWOOD WAY, Burbank, CA 91505

Secondary Practice Location 1

Location 1505 N Arrowhead Ave, #407San Bernardino, CA 92401-1200 · Phone (909) 453-3245 · Fax (909) 453-3246

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 05D2155739

San Bernardino Home Healthcare Inc · Burbank, CA
Active · expires Oct 2, 2026
CLIA Number05D2155739
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorBlikian Anahit
Laboratory Phone(888) 530-9717
Laboratory LocationSan Bernardino Home Healthcare Inc1117 N Hollywood Way, Burbank, CA 91505
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Home Health
1117 N HOLLYWOOD WAY, SUITE B
BURBANK, CA 91505
General Practice
1117 N HOLLYWOOD WAY, B
BURBANK, CA 91505
Durable Medical Equipment & Medical Supplies
1117 N HOLLYWOOD WAY
BURBANK, CA 91505

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 San Bernardino Home Healthcare, Inc's NPI number?

The NPI number for San Bernardino Home Healthcare, Inc is 1922406248. It was assigned to this organization in the NPPES registry on December 18, 2014.

Where is San Bernardino Home Healthcare, Inc located?

San Bernardino Home Healthcare, Inc is located at 1117 N Hollywood Way, Burbank, CA 91505. The listed phone number is (888) 530-9717.

What is San Bernardino Home Healthcare, Inc's specialty?

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

Does San Bernardino Home Healthcare, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2155739) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Bernardino Home Healthcare, Inc was last updated on March 17, 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.