NPIMap

Organization Active NPI

High Quality Home Health Agency, Inc.

  • Home Health Agency
  • Torrance, CA
National Provider Identifier
1053471847
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001609 Issued in CA
Legal business name
HIGH QUALITY HOME HEALTH AGENCY, INC.
Practice address
21707 Hawthorne Blvd Ste 202
Torrance, CA 90503-7012
Phone
(323) 954-8102
Fax
(323) 954-8114
NPI assigned
Dec 11, 2006
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Mrs. Elizabeth L. Lagleva, RN
Title
President
Phone
(323) 954-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001609 CA Primary

Addresses

Primary practice location

21707 Hawthorne Blvd Ste 202
Torrance, CA 90503-7012

Mailing address

21707 Hawthorne Blvd Ste 202
Torrance, CA 90503-7012
Phone (323) 954-8102

Other identifiers 2

IdentifierTypeStateIssuer
058346OtherCAMEDICARE PROVIDER NUMBER
HHA08346FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040409000665 CA Part A Provider - Home Health Agency 3971597261 Practice locations: Torrance, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053471847. Details of each certification follow.

Home health agency certification: CCN 058346

Legal name
HIGH QUALITY HOME HEALTH AGENCY, INC.
Doing business as
HIGH QUALITY HOME HEALTH AGENCY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 5, 2006
Last certification
Sep 6, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 3, 2003 in CA
Enrollment address
21707 Hawthorne Blvd
Ste 202
Torrance, CA 90503-7012

Care Compare: Home health agency

Medicare Care Compare
Listed as
High Quality Home Health Agency, IncCCN 058346 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 5, 2006
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
05D1065137High Quality Home Health Agency Inc21707 Hawthorne Blvd, Ste 202, Torrance, CA 90503Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Locations

3400 W 6th St
Ste 308
Los Angeles, CA 90020
Phone (213) 386-8101

4201 Wilshire Blvd
Ste 210
Los Angeles, CA 90010
Phone (323) 954-8102

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vilma V Payuran Individual Corporate OfficerAdministrator Mar 19, 2012
Corporate DirectorDPCS Mar 19, 2012
W-2 Managing EmployeeAdministrator Mar 19, 2012
Elizabeth L Lagleva Individual 5% Or Greater Direct Ownership InterestOwner Aug 30, 2008 50%
Corporate OfficerPresident Aug 30, 2008
Pacifico Z. Lagleva Individual 5% Or Greater Direct Ownership InterestOwner Mar 20, 2009 50%
Corporate OfficerVice President Aug 30, 2008
W-2 Managing EmployeeCfo, Mar 20, 2009
Elvira L. Castillo Individual Corporate OfficerBoard Member Aug 30, 2008
Corporate DirectorBoard Member Aug 30, 2008
W-2 Managing EmployeeOffice Manager Aug 30, 2008

Practitioners & affiliated clinicians

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1053471847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21707 HAWTHORNE BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905037012",
            "telephone_number": "323-954-8102",
            "fax_number": "323-954-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21707 HAWTHORNE BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905037012",
            "telephone_number": "323-954-8102",
            "fax_number": "323-954-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH QUALITY HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "LAGLEVA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-954-8102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "058346",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08346F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.