Active NPI
Celebrity Health Services, Inc.
Doing business as Celebrity HomeHealth
- Home Health Agency
- Sherman Oaks, CA
National Provider Identifier
1023078763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001020
- Legal business name
- CELEBRITY HEALTH SERVICES, INC.
- Doing business as
- Celebrity HomeHealth
- Practice address
- 14950 Ventura Blvd
Sherman Oaks, CA 91403-3455 - Phone
- (818) 492-1700
- Fax
- (818) 996-4001
- NPI assigned
- Mar 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Bustan, ACCOUNTANT
- Title
- Cfo, Ceo
- Phone
- (818) 492-1700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | PENDING | CA | |
| Home Health Agency | 251E00000X | 980001020 | CA | Primary |
Addresses
Primary practice location
14950 Ventura Blvd
Sherman Oaks, CA 91403-3455
Mailing address
14950 Ventura Blvd
Sherman Oaks, CA 91403-3455
Phone (818) 492-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA5731F | Medicaid | CA |
Other names 1
- Celebrity HomeHealth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060815000353 | CA | Part A Provider - Home Health Agency | 5395748214 | Practice locations: Sherman Oaks, CA |
Home health agency certification: CCN 557731
- Legal name
- CELEBRITY HEALTH SERVICES, INC.
- Doing business as
- CELEBRITY HOMEHEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 20, 1996
- Last certification
- Apr 11, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1991 in CA
- Enrollment address
- 14950 Ventura Blvd
Sherman Oaks, CA 91403-3455
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Celebrity Health Services, Inc
- Ownership
- Proprietary
- Certified
- May 20, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
18210 Sherman Way
#202
Reseda, CA 91335
Phone (818) 343-4001
14950 Ventura Blvd
Sherman Oaks, CA 91403
Phone 8183434001 ext. 1700
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ilana Bustan | 5% Or Greater Direct Ownership Interest | Jan 1, 1991 | 50% |
| Corporate Officer | Mar 1, 1997 | 100% | |
| W-2 Managing Employee | Mar 1, 1997 | 100% | |
| Amit Bustan | Corporate Officer | Apr 1, 2011 | 50% |
| Corporate Director | Apr 1, 2011 | 50% | |
| David Bustan | 5% Or Greater Direct Ownership Interest | Jan 1, 1991 | 50% |
| Corporate Officer | Jan 1, 2019 | 50% | |
| Corporate Director | Jul 24, 2006 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1023078763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14950 VENTURA BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033455",
"telephone_number": "818-492-1700",
"fax_number": "818-996-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14950 VENTURA BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033455",
"telephone_number": "818-492-1700",
"fax_number": "818-996-4001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CELEBRITY HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-25",
"last_updated": "2025-09-12",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "BUSTAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO, CEO",
"authorized_official_telephone_number": "818-492-1700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ACCOUNTANT"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Hospice",
"state": "CA",
"license": "PENDING",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA5731F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Celebrity HomeHealth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.