Organization Active NPI

La Comfort Home Care, Inc.

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1043738156
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LA COMFORT HOME CARE, INC.
Practice address
1864 E Washington Blvd Ste 212
Pasadena, CA 91104-1667
Phone
(323) 333-1112
NPI assigned
Sep 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Lusine Shaghoyan
Title
President/Ceo
Phone
(323) 333-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1864 E Washington Blvd Ste 212
Pasadena, CA 91104-1667

Mailing address

1864 E Washington Blvd Ste 212
Pasadena, CA 91104-1667
Phone (323) 333-1112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200325003108 CA Part A Provider - Home Health Agency 1052662590 Practice locations: Pasadena, CA

Home health agency certification: CCN 559276

Legal name
LA COMFORT HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 28, 2020
Last certification
May 28, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
1864 E Washington Blvd
Ste 212
Pasadena, CA 91104-1667

Care Compare: Home health agency

Medicare Care Compare
Listed as
La Comfort Home Care, IncCCN 559276
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 28, 2020
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
05D2258766La Comfort Home Care, Inc1864 E Washington Blvd Ste 212, Pasadena, CA 91104Certificate of waiverApr 25, 2028

National Provider Directory

National Provider Directory

Locations

1864 E Washington Blvd
Ste 212
Pasadena, CA 91104
Phone (323) 333-1112

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
Lusine Shaghoyan Individual 5% Or Greater Direct Ownership InterestCeo Aug 25, 2017 100%
Corporate OfficerCeo Aug 25, 2017 100%
Corporate DirectorCeo Aug 25, 2017 100%
W-2 Managing EmployeeCeo Aug 25, 2017 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043738156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 E WASHINGTON BLVD STE 212",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041667",
            "telephone_number": "323-333-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 E WASHINGTON BLVD STE 212",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041667",
            "telephone_number": "323-333-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA COMFORT HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAGHOYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-333-1112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.